R 2020-261 AMS - ESG Holdings Countywide air quality testing

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DocuSign Envelope ID: BEF57E4D-8C31-480E-ABAF-192B22264E80 ORANGE COUNTY-DEPARTMENT USE ONLY Party/Vendor Name: ESG Holdings,Inc Party/Vendor Contact Person: Dan Whittaker(Dwhittakerggo-esg com) Contact Phone: 336.373.1538 Party/Vendor Address: PO Box 18312 City Greensboro State: NC Zip: 27419 Department: AMS Amount: 17,820.00 Purpose: County Wide Air Quality & Surface Sampling Budget Code(s): 10240320-630000 Vendor#65016 (N/A if new vendor) Vendor is a BOCC consultant? Yes ❑No® Contract Type: (Check one)New® Renewal ❑ Amendment ❑ Effective Date 3/31/2020 Approved by Board Yes❑ No® Agenda Date: This agreement is approved as to technical form and content and I as Department Director affirmatively state work on this project has not been initiated prior to execution of the agreement: Department Director's Signature sue-9RI 4/8/2020 [ �w t Date: Agreements for emergency services or repair are not subject to the above affirmation. If services related to this agreement have already begun or been completed please briefly describe the nature of the emergency condition that was addressed: N/A Risk Management This agreement is approved for sufficiency of insurance standards,specifications,and requirements: Office of the Risk Management Office QGs� �a #f° Date 4/8/2020 Financial Services P� This instrument has been pre-audited in the manner required by the Local Government Budget and Fiscal Control Act: Office of the Chief Financial Office Date: 4/18/2020 Legal Services This agreement is approved as to legal form and sufficiency: Office of the County Attorney � +++u Date:4/18/2020 Clerk to the Board Received for record retention: All Docusign contracts must be copied to Sherri Ingersoll upon completion: singersoll@orangecountync.gov The following signature block is for hard copies only and is not required for Docusign contracts: Office of the Clerk to the Board Date: Revised 11/19 8