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DocuSign Envelope ID:90883988-076D-486D-B746-055E86E2D681 <br /> ORANGE COUNTY-DEPARTMENT USE ONLY <br /> Department <br /> Party/Vendor Name: Summit Design & Engineering Services, PLLC Party/Vendor Contact Person: Don Dewey <br /> (Don.deweyksummitde.net) or Troy Dover (Troy.Doverksummitde.net) Contact Phone: 919.732.3883 <br /> Party/Vendor Address: 320 Executive Court City Hillsborough State:NC Zip: 27278 Department: AMS Amount: <br /> NTE: $245,238.00 Purpose: Construction Materials Testing and Special Inspections for the Northern Campus <br /> Expansion Budget Code(s):Detention Center$180,238 Account#61370035-870002-10064 <br /> EAC $45,000 and POB $20,000 Account #61370035-870001-10064 Vendor # 53403 (N/A if new vendor) <br /> Vendor is a BOCC consultant? Yes ❑No® Contract Type: (Check one)New ® Renewal ❑ Amendment ❑ <br /> Effective Date 10/18/2019 Approved by Board Yes®No❑ Agenda Date: 10/1/19 <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 Signatu Date: <br /> Sf Qvu�k 2/21/2020 <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: N/A <br /> Information Technologies <br /> (Applicable only to hardware/software purchases and 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 /> Qt s� Ceru�#fa <br /> Office of the Risk Management Officer_[ ,u H :aR Date: 2/22/2020 <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: o�vsa <br /> Office of the Chief Financial Officer Date: 2/24/2020 <br /> Legal Services <br /> This agreement is approved as to legal form and sufficiency: <br /> Office of the County Attorney Date: 2/24/2020 <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 8 <br />