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DocuSign Envelope ID: 1377763D-11F6-48F1-9874-31394A81330810 <br /> ORANGE COUNTY—DEPARTMENT USE ONLY <br /> Party/Vendor Name: Summit Design and Engineering Services PLLC Party/Vendor Contact Person: Wes Tam <br /> PE Contact Phone: 919.322.0115 Party/Vendor Address: 1110 Navaho Drive, Suite 600 City Raleigh State: NC <br /> Zip: 27609 Department: AMS Amount: $14,760 Purpose: To complete items 5-10 as per attached contract dated <br /> 02/19/2020 Budget Code(s): 61370035-870000-30029 Vendor#53403 (N/A if new vendor) Vendor is a BOCC <br /> consultant? Yes ❑ No® Contract Type: (Check one) New ® Renewal ❑ Amendment ❑ Effective Date <br /> 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 /> �DLocu''S..igned by: <br /> Department Director's Signature12DD9CD6B81844C5 <br /> ri- QY► A Date 2/25/2020 <br /> .. <br /> Agreements for emergency services ur mpair A1C uM Nuuject 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 or 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 sufficienc- -oocuSgnea 6y:`- A-rds,specifications,and requirements: <br /> aUsa LQ 6 2/27/2020 <br /> Office of the Risk Management Office Date: <br /> 7F6CF9178800495... <br /> Financial Services <br /> °S This instrument has been pre-audited in the manner required by the Local Government Budget and Fiscal Control <br /> Act: DocuSigned by: <br /> 4 . 3/2/2020 <br /> Office of the Chief Financial Officer Date: <br /> 704E59S1ACC1409... <br /> Legal Services <br /> This agreement is approved as t O�"USIigned by: ;iency: <br /> hm <br /> Office of the County Attorney 4 r � Date: 3/12/2020 <br /> C5F3CDDF0694F8... <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 />