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DocuSign Envelope ID:OEA8910E-53C5-4456-B7C4-13BO7A47BB46 <br /> ORANGE COUNTY—DEPARTMENT USE ONLY <br /> Party/Vendor Name: Summit Design and Engineering Services, PLLC Party/Vendor Contact Person: Don Dewey <br /> (don.deweygsummitde.net) Contact Phone: 919.732.3883 Party/Vendor Address: 320 Executive Court City <br /> Hillsborough State:NC Zip: 27278 Department: AMS Amount: $1,300.00 Purpose: Motor Pool Gravel Parking_Lot <br /> perform inspection and report Budget Code(s): 61370035-870000-30029 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 3/25/2020 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 on <br /> this project has not been initiated prior to execution of the agreement: <br /> Department Director's Signature Date: 3/23/2020 <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 was <br /> 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 sufficiency of insurance standards, specifications,and requirements: <br /> Office of the Risk Management Officer IuESO bn1t f° Date: 3/24/2020 <br /> Financial Services <br /> This instrument has been pre-audited in the manner required by the Local Government Budget and Fiscal Control Act: <br /> PL o�v <br /> Office of the Chief Financial Officer Date: 4/6/2020 <br /> Legal Services <br /> This agreement is approved as to legal form and sufficiency: <br /> Office of the County Attorney �` Date:4/7/2020 <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 4 <br />