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DocuSign Envelope ID:6131 BDDF-001 B-4910-BF42-4DCC77925590 <br /> ORANGE COUNTY—DEPARTMENT USE ONLY <br /> Party/Vendor Name: Summit Design and Engineering Services Party/Vendor Contact Person: Tim Smith (Tim <br /> Smith, PE, PLS <tim.smith(&summitde.net>) Contact Phone: 919.732.3883 Party/Vendor Address: 320 Executive <br /> Court City Hillsborough State: NC Zip: 27278 Department: AMS Amount: 16,625.00 Purpose: Generator <br /> Design for PFAP Budget Code(s): 34600020-870000-10076 Vendor# 53403 (N/A if new vendor) Vendor is a <br /> BOCC consultant? Yes ❑ No® Contract Type: (Check one)New ® Renewal ❑ Amendment ❑ Effective <br /> Date 5/3/2021 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 sg gby:Department Director's Signature Date: 4/29/2021 <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 sg ea by: <br /> Office of the Risk Management Office QUsa(mu& Date:4/30/2021 <br /> ]FDC <br /> Financial Services <br /> D� This instrument has been pre-audited in the manner required by the Local Government Budget and Fiscal Control <br /> P( Act: <br /> D sg gby: 5/6/2021 <br /> Office of the Chief Financial Officer[ �"" Date: <br /> Legal Services <br /> This agreement is approved as to legal form and sufficiency: <br /> D 5'g g by: <br /> Office of the County Attorney �kniv, Date:5/6/2021 <br /> ��m��DDFuesa�g_ <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 />