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Revised 06/21 <br /> ORANGE COUNTY—DEPARTMENT USE ONLY <br />______________________________________________________________________________ <br /> <br />Party/Vendor Name: Facility Dynamic Engineering Corporation Party/Vendor Contact Person: Jay Santos <br />(jays@facilitydynamic.com) Contact Phone: 336.253.2908 Party/Vendor Address: 6760 Alexander Bell Drive, Suite 200 City <br />Columbia State: MD Zip: 21046 Department: AMS Amount: $3,117.00 (Original Contract $109,816 + Change Amend $3,117.00 = <br />Total Contract $112,933.00) Purpose: Northern Campus Added scope for the smoke control sequence commissioning Budget <br />Code(s): 61370035-870001-10064 ($1,558.50) and 61370035-870002-10064 ($1,558.50) Vendor # 66715 (N/A if new vendor) <br />Vendor is a BOCC consultant? Yes No Contract Type: (Check one) New Renewal Amendment Effective Date <br />7/28/2021 Approved by Board Yes No Agenda Date: --- For Section XIV. c. contracts only, Approved by Board in <br />Current FY Budget Yes No <br /> <br />This agreement is approved as to technical form and content and I as Department Director affirmatively state work on this pro ject has <br />not been initiated prior to execution of the agreement: <br /> <br /> <br />Department Director’s Signature ________________________________________ Date: ________ <br />Agreements for emergency services or repair are not subject to the above affirmation. If services related to this agreement have <br />already begun or been completed please briefly describe the nature of the emergency condition that was addressed: N/A <br /> <br />Information Technologies <br /> <br />(Applicable only to hardware/software purchases or related services) This agreement has been reviewed and is approved as to <br />information technology content and specifications: <br /> <br />Office of the Chief Information Officer___________________________________ Date: ________ <br /> <br />Risk Management <br /> <br />This agreement is approved for sufficiency of insurance standards, specifications, and requirements: <br /> <br />Office of the Risk Management Officer ___________________________________ Date: _________ <br /> <br />Financial Services <br /> <br />This instrument has been pre-audited in the manner required by the Local Government Budget and Fiscal Control Act: <br /> <br />Office of the Chief Financial Officer ____________________________________ Date: _________ <br /> <br />Legal Services <br /> <br />This agreement is approved as to legal form and sufficiency: <br /> <br />Office of the County Attorney __________________________________________Date: ________ <br /> <br />Clerk to the Board <br /> <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 /> <br />Office of the Clerk to the Board __________________________________________Date:_________ <br />DocuSign Envelope ID: 12BDD0F0-7FBF-43B6-BACD-F124F87E24FA <br />7/28/2021 <br />7/29/2021 <br />7/30/2021 <br />8/2/2021