HomeMy WebLinkAboutR 2018-053 AMS - HM Kern Passmore Expansion
Revised 10/17
8
ORANGE COUNTY—DEPARTMENT USE ONLY
______________________________________________________________________________
Department
Party/Vendor Name: H.M. Kern Corporation Party/Vendor Contact Person: Jason Kepley (JKepley@hmkern.com) Contact
Phone: 336.668.3213 Party/Vendor Address: 160 Thatcher Road City Greensboro State: NC Zip: 27409 Department: AMS
Amount: Base Bid $524,700 - VE Options $29,880.00 = $494,820.00 Purpose: Passmore Center Expansion Construction
Budget Code(s): 61370035-880000-10023 Vendor # 60426 (N/A if new vendor) Vendor is a BOCC consultant? Yes
No Contract Type: (Check one) New Renewal Amendment Effective Date 1/23/2018 Approved by Board
Yes No Agenda Date: 1/23/2018
This agreement is approved as to technical form and content:
Department Director’s Signature ________________________________________ Date: ________
Asset Management
(Applicable only to construction contracts) This agreement has been reviewed and is approved as to construction services
content and specifications:
Office of the Asset Management Director__________________________________ Date: ________
Risk Management
This agreement is approved for sufficiency of insurance standards, specifications, and requirements:
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 ____________________________________ Date: _________
Legal Services
This agreement is approved as to legal form and sufficiency:
Office of the County Attorney __________________________________________Date: ________
Clerk to the Board
Received for record retention:
All Docusign contracts must be copied to Donna Lloyd upon completion @ Dolloyd@orangecountync.gov
The following signature block is for hard copies only and is not required for Docusign contracts:
Office of the Clerk to the Board __________________________________________Date:_________
DocuSign Envelope ID: 313DA256-1EDE-4396-A716-4C53B809027E