2019-797-E AMS - Summit Design contract amendment PFAP freezer installation

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DocuSign Envelope ID: F55E53DA-6231-4A93-9BFA-2ADD5323B355 ORANGE COUNTY-DEPARTMENT USE ONLY Department Party/Vendor Name: Summit Design and Engineering Services Party/Vendor Contact Person: Tim Smith (tim.smithksummitde.net) Contact Phone: 919.732.3883 Party/Vendor Address: 504 Meadowlands Drive City Hillsborough State: NC Zip: 27278 Department: AMS Amount: $10,750.00, ($8,750.00 Fixed price for design, $2,000 for reimbursables) Purpose: Provide design services for Piedmont Food & Ag Freezer Installation Budget Code(s): 30600030-870000-71370 Vendor#53403 (N/A if new vendor) Vendor is a BOCC consultant? Yes ❑ No® Contract Type: (Check one)New ® Renewal ❑ Amendment ❑ Effective Date 8/20/18 Approved by Board Yes❑No® Agenda Date: This agreement is approved as to technical form and content: Department Director's Signature �'° Date:10/16/2018 Ia ,, Information Technologies (Applicable only to hardware/software purchases or related services)This agreement has been reviewed and is approved as to information technology content and specifications: Office of the Chief Information Officer Date: Risk Management This agreement is approved for sufficiency of insurance standards,specifications,and requirements: QGsu �a�n�#fa Office of the Risk Management Officer D[ u��v R ate:10/22/2018 Financial Services This instrument has been pre-audited in the manner required by the Local Government Budget and Fiscal Control Fz Act: Office of the Chief Financial Officer e' c-N Date: 10/23/2018 Legal Services This agreement is approved as to legal form and sufficiency: Office of the County Attorney C'� ro h Date:10/23/2018 ��.,=_ Clerk to the Board Received for record retention: All Docusign contracts must be copied to Sherri Ingersoll upon completion: singersoll(a)oran eg countync. ogovv 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 10/17 9