Orange County NC Website
DocuSign Envelope ID:CA518426-7674-44D9-B125-E4C45FD169AE <br /> ORANGE COUNTY-DEPARTMENT USE ONLY <br /> Party/Vendor Name: ECS Southeast,LLP Party/Vendor Contact Person: Tina Stewart(TStewart(a()ecslimited.com) <br /> or John Lair (Jlair(d)ecslimited.com) Contact Phone: 336. Party/Vendor Address: 4811 Koger Blvd. City <br /> Greensboro State: NC Zip: 27407 Department: AMS Amount: $7,600.00 Purpose: Court Street Annex Asbestos <br /> Services Budget Code(s): 61370035-880000-10004 Vendor# 56914 (N/A if new vendor) Vendor is a BOCC <br /> consultant? Yes ❑ No® Contract Type: (Check one) New ® Renewal ❑ Amendment ❑ Effective Date <br /> 01/08/2021 Approved by Board Yes❑No® Agenda Date: <br /> This agreement is approved as to technical form and content and I as Department Director affirmatively state work <br /> on this project has not been initiated prior to execution of the agreement: <br /> D S'g gby:Department Director's Signature Date: 1/$/2021 <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 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 /> D s'g ea by: <br /> Office of the Risk Management Office ILlisa(anu$e Date:1/8/2021 <br /> �]FDD <br /> Financial Services <br /> This instrument has been pre-audited in the manner required by the Local Government Budget and Fiscal Control <br /> DS <br /> P[ Act: <br /> D Sig g by: <br /> Office of the Chief Financial Officer� '�""�"` Date:1/9/2021 <br /> Legal Services <br /> This agreement is approved as to legal form and sufficiency: <br /> D Sig,,d by: <br /> Office of the County Attorne '6 hniv, Date:1/11/2021 <br /> Y� �� <br /> Clerk to the Board <br /> Received for record retention: <br /> All Docusign contracts must be copied to the Clerk upon completion: occlerkdocs@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 07/20 <br /> 9 <br />