Orange County NC Website
Revised 11/19 9 <br />ORANGE COUNTY—DEPARTMENT USE ONLY <br />______________________________________________________________________________ <br /> <br />Party/Vendor Name: Alpha & Omega Group, PC Party/Vendor Contact Person: Ted L. Bartelt, P.E. (President) <br />Contact Phone: 919-981-0310 Party/Vendor Address: 4601 Lake Boone Trail, Suite 3C City Raleigh State: NC Zip: <br />27607 Department: Planning Amount: $50,120.00 Purpose: Lake Orange EC Barrier Design Budget Code(s): <br />61370035-870000-10074 (Lake Orange Dam Rehabilitation CIP) Vendor # 61518 (N/A if new vendor) Vendor is <br />a BOCC consultant? Yes No Contract Type: (Check one) New Renewal Amendment Effective <br />Date July 13, 2020 Approved by Board Yes No Agenda Date: <br /> <br /> <br />This agreement is approved as to technical form and content and I as Department Director affirmatively state work on <br />this project has 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 <br />agreement have already begun or been completed please briefly describe the nature of the emergency condition that <br />was addressed: <br /> <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 /> <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 /> <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 /> <br />Clerk to the Board <br /> <br />Received for record retention: <br />All Docusign contracts must be copied to Sherri Ingersoll upon completion: singersoll@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 /> <br /> <br />DocuSign Envelope ID: F08C6043-A165-4B95-9C6F-D2E8524A0B94 <br />7/13/2020 <br />7/13/2020 <br />7/14/2020 <br />7/14/2020