HomeMy WebLinkAboutR 2015-414-E AMS - Lomax Construction, Inc. for DSS expansion DocuSign Envelope ID:489DFD84-DFCE-4E07-BB35-5F6A708DFA3A
ORANGE COUNTY-DEPARTMENT USE ONLY
Department
Party/Vendor Name: Lomax Construction,Inca Party/Vendor Contact Person: Charlie Johnson Contact Phone: 336-992-7000
Party/Vendor Address: PO Box 35169 City Greensboro State: NC Zip: 27425 Department: AMS Amount: 246,600.00
Purpose: D.S.S Expansion Budget Code(s): 104000130-803000 Vendor#62290 (N/A if new vendor) Vendor is a BOCC
consultant? Yes ❑ No® Contract Type: (Check one) New ® Renewal ❑ Amendment ❑ Effective Date 8/07/2015
Approved by Board Yes❑No® Agenda Date:
This agreement is approved as to technical form and content:
Department Director's Signature�S s 74 w Date: 8/8/2015 EaaoA46�FS«ga
Information Technologies
(Applicable only to hardware/software purchases or related se�vicell This agreement has been reviewed and is approved as to
information technology content and specifications:
Office of the Chief Information Officer ff Date:
Risk Management
This agreement is approved for sufficiency of insurance standards,specifications, and requirements:
D 5'g tl by:
Ql3a(ovu.cl{° 8/9/2015
Office of the Risk Management Officer Date:
Financial Services
This instrument has been pre-audited in the manner required by the Local Government Budget and Fiscal Control Act:
Office of the Chief Financial Officer P"" °�`' Date:
8/10/2015
Legal Services
This agreement is approved as to legal form and sufficiency:
Office of the County Attorney Date: 8/10/2015
Clerk to the Board
Received for record retention:
All Docusign contracts must be copied to Donna Lloyd upon completion @ I)oI kwd'gwmnLrccowitvnc.Ljov
The following signature block is for hard copies only and is not required for Docusign contracts:
Office of the Clerk to the Board Date:
Revised 10/14 10