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DocuSign Envelope ID: F55E53DA-6231-4A93-9BFA-2ADD5323B355 <br /> ORANGE COUNTY-DEPARTMENT USE ONLY <br /> Party/Vendor Name: Summit Design&Engineering Services ,PLLC Party/Vendor Contact Person: Don Dewey <br /> (Don.dewey(a)summitde.net) or Troy Dover (Troy.Dover(a)summitde.net) Contact Phone: 919.732.3883 Party/Vendor Address: 320 <br /> Executive Court City Hillsborough State: NC Zip: 27278 Department: AMS Amount: This contract amendment is to reduce the <br /> original contract amount by($2,000.00) For a new contract amount of$8,750.00 Purpose: This change amendment is to remove the <br /> Reimbursable services from this contract, These funds were not used as a part of the design of this project. Budget Code(s): <br /> 30600030-870000-71370 Vendor# 53403 (N/A if new vendor) Vendor is a BOCC consultant? Yes ❑ No® Contract Type: <br /> (Check one)New❑ Renewal❑ Amendment ® Effective Date 10/31/2019 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 on this project has <br /> not been initiated prior to execution of the agreement: <br /> Department Director's Signature Date: <br /> 10/24/2019 <br /> Agreements for emergency services or repair are not subject to the above affirmation. If services related to this agreement have <br /> already begun or been completed please briefly describe the nature of the emergency condition that was addressed: N/A <br /> Information Technologies <br /> (Applicable only to hardware/software purchases or related services)This agreement has been reviewed and is approved as to <br /> 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 Qt s� ��"` d Date:10/24/2019 <br /> Financial Services <br /> P� This instrument has been pre-audited in the manner required by the Local Government Budget and Fiscal Control Act: <br /> Office of the Chief Financial Officer Date:10/25/2019 <br /> Legal Services <br /> This agreement is approved as to legal form and sufficiency: <br /> Office of the County Attorney wa P Date:10/28/2019 <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 />