HomeMy WebLinkAboutR 2016-112-E DEAPR - W.L. Bishop - Change Order for wet soil DocuSign Envelope ID: E4349D49-1523-4646-AC79-1BC3F4B5D445
ORANGE COUNTY—DEPARTMENT USE ONLY
Department
Party/Vendor Name: W.L. Bishop Party/Vendor Contact Person: Jerry Smith Contact Phone: 919-732-2546
Party/Vendor Address: 2211 Leah Dr City Hillsborough State: NC Zip: 27278 Department: DEAPR Amount:
44,421.00 Purpose: Change Order for wet soil Budget Code(s): 61370035 880000 20027 Vendor#059867 (N/A
if new vendor) Vendor is a BOCC consultant? Yes ❑ NoM Contract Type: (Check one)New ❑ Renewal E]
Amendment M Effective Date Sept. 19,2015 Approved by Board Yes❑NoE Agenda Date:
This agreement is approved as to technical form and content:
Docusigned by:
Department Director's Signature FoaW, SfOJA,6� Date: 1/8/20 6
�-61 1CFAlD507A495
Information jgghg2j2gjEs
(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:
DocuSigned by:
Office of the Risk Management Office §Usa, (hnuftt Date:
�--7FDCF9176800498 1/11/2016
Financial Services
This instrument has been pre-audited in the manner required by the Local Government Budget and Fiscal Control
Act:
DocuSigned by:
Office of the Chief Financial Office (' Date: 1/12/2016
C 11
f7D4E5181ACC1409
Legal Services
This agreement is approved as to legal form and sufficiency:
D
ocuSigned by:
Office of the County Attorney Date:
016
EAA3D33ED8A8465... 111212
Clerk to the Board
Received for record retention:
All Docusign contracts must be copied to Donna Lloyd upon completion @
The following signature block is for hard copies only and is not required for Docusign contracts:
Office of the Clerk to the Board Date: