HomeMy WebLinkAboutR 2018-085 Planning - Moffat Pipe Rogers Road sewer extension change order 2ORANGE COUNTY - -- DEPARTMENT USE ONLY -- -HARD COPY ONLY
Department
Party/Vendor Name: Moffat Pipe Inc Party/Vendor Contact Person: Jesse DuClau Contact Phone: 919- 235 -5149
Party/Vendor Address: 4901 Unicorn Dr. City Wake Forest State: NC Zip: 27587 Department: Planning _&
Inspections Amount: $-1j.3,933.03 Purpose: Change Order Budget Code(s): 61370035- 850000 Vendor # 64870 Vr eci-
(N/A if new vendor) Vendor is a BOCC o sultant? Yes ❑ No® Contract Type: (Check one) New ❑ 1 64
Renewal ❑ Amendment 0 Effective Date 44jApproved by Board Yes❑ No❑ Agenda Date:
This agreement is approved as to technical fo an ent:
F
Department Director's Signature Date:
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
Risk Management
Date:
This agreement is approved for sufficiency of insurance standards, specifications, and requirements:
Office of Risk Management Date:
Financial Services
i
This instrument has been pre - audited in the anner r q iced 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:
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Office of the County Attorney Date:
Clerk to the Board
Received for record retention:
Office of the Clerk to the Board Date:
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Revised 10/17