R 2019-574 AMS - Burke Design mural muster room HVAC study

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DocuSign Envelope ID:3E30BB72-BCBO-4AD5-BE8A-E2D61697B7FE ORANGE COUNTY-DEPARTMENT USE ONLY Party/Vendor Name: Burke Design Group Consulting Engineers Party/Vendor Contact Person: Ben Burke Contact Phone: 919-771-1916 Party/Vendor Address: 3305-109 Durham Drive City Raleigh State:NC Zip: 27603 Department: AMS Amount: $7100.00 Purpose: Mural Courtroom &Muster Room HVAC Study/Design Budget Code(s): 61370035-870000-30018 Vendor#60926 (N/A if new vendor) Vendor is a BOCC consultant? Yes ❑ No® Contract Type: (Check one)New ® Renewal ❑ Amendment ❑ Effective Date 8/26/19 Approved by Board Yes❑No® Agenda Date: This agreement is approved as to technical form and content and I as Department Director affirmatively state work on this project has not been initiated prior to execution of the agreement: Department Director's Signature[ 8/22/2019 �w t Date: Agreements for emergency services or repair are not subject to the above affirmation. If services related to this agreement have already begun or been completed please briefly describe the nature of the emergency condition that was addressed: NA Risk Management This agreement is approved for sufficiency of insurance standards,specifications,and requirements: Office of the Risk Management Office QGs� �a��#f° Date: 8/23/2019 Financial Services This instrument has been pre-audited in the manner required by the Local Government Budget and Fiscal Control P[ Act: oIXVslp Office of the Chief Financial Officer Date:8/23/2019 Legal Services This agreement is approved as to legal form and sufficiency: Office of the County Attorney " Date:8/26/2019 Clerk to the Board Received for record retention: All Docusign contracts must be copied to Sherri Ingersoll upon completion: singersoll@orangecountync.gov The following signature block is for hard copies only and is not required for Docusign contracts: Office of the Clerk to the Board Date: Revised 12/18 9