Orange County NC Website
DocuSign Envelope ID:6CF06457-7118-4304-9934-67C64310797A <br /> ORANGE COUNTY-DEPARTMENT USE ONLY <br /> Department <br /> Party/Vendor Name: S&ME, Inc. Party/Vendor Contact Person: Jason Volker Contact Phone: (919) 872-2660 <br /> Party/Vendor Address: 3201 Spring Forest Rd. City Raleigh State:NC Zip:27616 Department:DEAPR Amount: <br /> $31,848.50 Purpose: Additional Groundwater Landfill Gas and Soil Characterization at former Hillsborough <br /> Landfill Budget Code(s): 61370035 870000 20041 Vendor# 52307 (N/A if new vendor) Vendor is a BOCC <br /> consultant? Yes ❑ No® Contract Type: (Check one) New ® Renewal ❑ Amendment ❑ Effective Date <br /> February 22,2021 Approved by Board Yes❑No® Agenda Date:N/A <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 /> DocuSignedd by: <br /> VAVJ- SfAAAA 2/23/2021 <br /> Department Director's Signature Far 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 /> Information Technologies <br /> (Applicable only to hardware/software purchases and 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 moarouaeystandards, specifications,and requirements: <br /> L��, Vl&,f.,{fb 2/23/2021 <br /> Office of the Risk Management Officer a Date: <br /> Financial Services <br /> This instrument has been pre-audited in the manner required by the Local Government Budget and Fiscal Control <br /> Act: DocuSigned by: <br /> Office of the Chief Financial Officer Date:2/23/2021 <br /> Legal Services <br /> This agreement is approved as to legal form and sufficiency: <br /> Office of the County Attorney Date: <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 9 <br />