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DocuSign Envelope ID: EA4A52EC-DFE4-44E3-82C4-14BAEDEA198D <br /> ORANGE COUNTY-DEPARTMENT USE ONLY <br /> Party/Vendor Name: Burke Design Group, PA Party/Vendor Contact Person: Ben Burke (ben(abdg-nc.com) <br /> Contact Phone: 919.771.1916 Party/Vendor Address: 3305-109 Durham Rd. City Raleigh State: NC Zip: 27603 <br /> Department: AMS Amount: $16,000.00($15,000 for Design per proposal,$1000 Reimbursables) Purpose: Central <br /> Recreation Facility HVAC Design Services Budget Code(s): 61370035-870000-30018 Vendor# 60926 (N/A if <br /> new vendor) Vendor is a BOCC consultant? Yes ❑ No® Contract Type: (Check one)New ® Renewal ❑ <br /> Amendment ❑ Effective Date 3/2/2020 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 Signature[ 3/z/zozo <br /> �w t Date: <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 /> Risk Management <br /> This agreement is approved for sufficiency of insurance standards,specifications,and requirements: <br /> Office of the Risk Management Office 1 5,, bn1t f° Date: 3/2/2020 <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�sa <br /> Office of the Chief Financial Officer Date:3/3/2020 <br /> Legal Services <br /> This agreement is approved as to legal form and sufficiency: <br /> Office of the County Attorney[?? H +�'qu Date:3/3/2020 <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 11/19 <br /> 9 <br />