Orange County NC Website
Browse       Search
DocuSign Envelope ID: FCE3B12B-34AF-485D-9888-6CADC04FD9D6 <br /> ORANGE COUNTY—DEPARTMENT USE ONLY <br /> PartylVendor Name: Civil Consultants, Inc. Party/Vendor Contact Person: Michael Fiocco Contact Phone: 919- <br /> 490-1645 Party/Vendor Address: 3708 L ckan Parkway Suite 201 City Durham State: NC Zip: 27707 <br /> Department: DEAPR Amount: 28,800 Purpose: Civil Engineering Servies to replace two culverts at Twin Creeks <br /> Budget Code(s): 61370035 860000 20003 Vendor 4 62089 (N/A if new vendor) Vendor is a BOCC consultant? <br /> Yes ❑ No® Contract Type: (Check one) New ® Renewal ❑ Amendment ❑ Effective Date 4/12/19 <br /> Approved by Board Yes❑No® Agenda Date: <br /> This agreement is approved as to technical form and content and I as Department Director affirmatively state work <br /> on this project has not been initiated prior to execution of the agreement: <br /> DocuSigned by: <br /> Department Director's Signatu Pam' Sf�'uC Date.4/15/2019 <br /> Agreements for emergency servictb u;I pall a1 V JULabject to the above affirmation. If services related to this <br /> agreement have already begun or been completed please briefly describe the nature of the emergency condition that <br /> was addressed: <br /> Risk Management <br /> This agreement is approved for sufficiencv of insurance standards,specifications,and requirements: <br /> DocuSigned_by: <br /> . <br /> Office of the Risk Management Offic USX Cbl 6 Date: 4/16/2019 <br /> 7FDCF917e800498. <br /> DS <br /> �L <br /> Financial Services <br /> This instrument has been pre-audited in the manner required by the Local Government Budget and Fiscal Control <br /> Act: DocuSigned by: <br /> 4/17/2019 <br /> Office of the Chief Financial Officer. CIA Date: <br /> Er7NE5181ACC1409. - <br /> Leffal Services <br /> This agreement is approved as to ' `r. �a..."�cienc : <br /> pprove DocuSigned by: y <br /> Office of the County Attorney �6LW Pkk�s Date: 4/18/2019 <br /> EAA3D33ED8AM65.. <br /> Clerk to the Board <br /> Received for record retention: <br /> All Docusign contracts must be copied to Sherri Ingersoll upon completion: snngersoll@orangecountync.gov <br /> The following signature block is for hard copies only and is not required for Docusign contracts: <br /> Office of the Clerk to the Board Date: <br /> Revised 12/18 <br /> 8 <br />