HomeMy WebLinkAboutR 2015-161-E Planning - J.F. Wilkerson Contracting Co., Inc. - Final Change Order for Buckhorn-Mebane Phase 2 Water and Sewer DocuSign Envelope ID:OEE5F167-D7B1-41B1-A2DC-6B885C50EO84
ORANGE COUNTY—DEPARTMENT USE ONLY
Deuartment
Party/Vendor Name: J.F. Wilkerson Contracting Company. Inc. Party/Vendor Contact Person: Mike Coates
Contact Phone: (919)464-1708 Party/Vendor Address: PO Box 183 City Morrisville State: NC Zip: 27560
Department: Planning Amount: $62,215.11 Purpose: Final Change Order for Buckhorn-Mebane Phase 2 Water
and Sewer Budget Code(s): 61370035-880000-30040 Vendor 4 55607 (N/A if new vendor) Vendor is a BOCC
consultant? Yes ❑ No® Contract Type: (Check one) New ❑ Renewal ❑ Amendment ® Effective Date
Approved by Board Yes❑No® Agenda Date:
This agreement is approved as to technical form and content:
DocuSigned by:
p�� ,¢' ' 3/12/2015
Department Director's Signature (Yai �ajf,h,L to Date:
846D10DA3CFD4C2...
Information Technologies
(Applicable only to hardware/software purchases or related services)This agreement has been reviewed and is
approved as to information technology content and specifications:
Office of the Chief Information Officer Date:
Risk Management
This agreement is approved for sufficiency of insurance standards,specifications,and requirements:
riussx DocuSigned''b��y: ''1111
Office of the Risk Management Officer (,bvvu,tib Date: 3/12/2015
7FDCF9176800498...
Financial Services
This instrument has been pre-audited in the manner required by the Local Government Budget and Fiscal Control
Act:
DocuSi+gn_ed by:
Office of the Chief Financial Office �j Ll b" Date: 3/19/2015
232DFFC2CFA847B...
Legal Services
This agreement is approved as to legal form and sufficiency:
ocu&gned by:
Office of the County Attorney , bL& otxfs Date: 3/19/2015
EAAMKEMA8465...
Clerk to the Board
Received for record retention:
All Docusign contracts must be copied to Donna Lloyd upon completion @ DolloyaLorangecoun nc. ov
The following signature block is for hard copies only and is not required for Docusign contracts:
Revised 10/14
DocuSign Envelope ID: 0EE5F167-D7B1-41B1-A2DC-6B885C50E084
Office of the Clerk to the Board
__________________________________________Date:_________
Revised 10/14