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DocuSign Envelope ID:9B5A99BA-E7F6-4BFA-8247-D1CF003D9F70 <br /> ORANGE COUNTY-DEPARTMENT USE ONLY <br /> Party/Vendor Name: Terracon Party/Vendor Contact Person: David Carver(Dave.Carver(d)terracon.com) Contact <br /> Phone: 919.436.2991 Party/Vendor Address: 2401 Brentwood Rd, Ste 107 City Ralei State: NC Zip: 27604 <br /> Department: AMS/Sportsplex Amount: $5905 Purpose: Special Testing for Field House Sidewalk along Hwy 70 <br /> Budget Code(s): 61370035-880000-10023 Vendor#60991 (N/A if new vendor) Vendor is a BOCC consultant? <br /> Yes ❑ No® Contract Type: (Check one) New ® Renewal ❑ Amendment ❑ Effective Date <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 /> Department Director's Signatur ,Lt Pd""a" Date: 7/9/2019 <br /> � <br /> Agreements for emergency services or repair are not subject 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: This work was completed.The prior contract had sufficient funding.However to pay the vendor for <br /> additional testing the sidewalk funding was used. The additional testing will be reimbursed to Orange County by <br /> TA Loving.This contract is to pay Terracon and stop incurring late fees. <br /> Information Technologies <br /> (Applicable only to hardware/software purchases or related services)This agreement has been reviewed and is <br /> approved as to information technology content and specifications: <br /> Office of the Chief Information Officer Date: <br /> Risk Management <br /> This agreement is approved for sufficiency of insurance standards, specifications,and requirements: <br /> Office of the Risk Management Office QGs�,bn1t fo Date:7/10/2019 <br /> Financial Services <br /> This instrument has been pre-audited in the manner required by the Local Government Budget and Fiscal Control <br /> P� Act: <br /> Office of the Chief Financial Officer r�I°N Date: 7/10/2019 <br /> Legal Services <br /> This agreement is approved as to legal form and sufficiency: <br /> Office of the County Attorney Date: 7/10/2019 <br /> C��.,=_ <br /> Clerk to the Board <br /> Received for record retention: <br /> All Docusign contracts must be copied to Sherri Ingersoll upon completion: singersoll@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 />