HomeMy WebLinkAboutR 2018-113 AMS - TA Loving Sportsplex Field House Change Order 1Revised 10/17
ORANGE COUNTY—DEPARTMENT USE ONLY
______________________________________________________________________________
Department
Party/Vendor Name: T.A. Loving Party/Vendor Contact Person: Evia Nelson Contact Phone: 919.734.8400 Party/Vendor Address: 400 Patetown
Road City Goldboro State: NC Zip: 27530 Department: AMS Amount: $188,555.00 Purpose: Install connector between existing Sportsplex Facility
and new field house Budget Code(s): 53-40-530-5300-30-00-880000 Vendor # 64092 (N/A if new vendor) Vendor is a BOCC consultant? Yes
No Contract Type: (Check one) New Renewal Amendment Effective Date 3/14/15 Approved by Board Yes No Agenda
Date:
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 Sherri Ingersoll upon completion: singersoll@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: 268A3B0E-EA34-4541-9E6D-48A5B8835E05
3/19/2018
3/19/2018
3/20/2018
3/31/2018
4/2/2018