HomeMy WebLinkAboutR 2018-535 Planning - Moffat Pipe change order 4c�2vIB 6,55
ORANGE 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: $4,000.00 Purpose: Change Order Budget Code(s): 61370035- 880000 -10054 Vendor #
64870 (N /A if new vendor) Vendor is a BOCC consultant? Yes ❑ NoN Contract Type: (Check one) New ❑
Renewal ❑ Amendment N Effective Date 7/10/17 Approved by Board Yes❑ No❑ Agenda Date:
This agreement is approved as to technical and content:
Department Director's Signatur 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:
1
Office of Risk Management Date: ? /'� / / �,
Financial Services
This instrument has been pre - audited in th ma r uired by the Local Government Budget and Fiscal Control
Act:
Office of the Chief Financial Officer Date: 7 /
Legal Services
This agreement is approved as to legal form and sufficiency:
d' q
Office of the County Attorney ; -` Date: I �-
Clerk to the Board
Received for record retention:
Office of the Clerk to the Board Date:
Revised 10/17