HomeMy WebLinkAboutR 2018-612 Planning - Moffat Pipe change order 5 o �� - � 1 .
ORANGE COUNTY---DEPARTMENT USE ONLY---HARD COPY ONLY
Department P N* 115?010 5(0
Party/Vendor Name: Moffat Pipe Inc Party/Vendor Contact Person: Jesse DuClau Contact Phone: 919-231-5149
Party/Vendor Address: 4901 Unicom Dr. City Wake Forest State: NC Zip: 27587 Department: Plan6ing
Inspections Amount: $181,593.97 Purpose: Change Order Budget Code(s): 61370035-88000-10054. endor
64870 (N/A if new vendor) Vendor is a BOCC consultant? Yes [l No® Contract Type: (Check on New � (
Renewal M Amendment ® Effective Date Approved by Board Yes®No❑ Agenda Date:
This agreement is approved as to technical fo an tent:
7
Department Director's Signatur Date: C�
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 Date:
Risk Management
This agreement is approved for sufficiency of insurance standards,specifications,and requirements:
Office of Risk Management_ Date:
Financial Se ices
This instrument has been pre-audited in theAmner rrejuby the Local Government Budget and Fiscal Control
Act: c
Office of the Chief Financial Officer Date: ` Zl 1
Legal Services
This agreement is approved as to legal form and sufficiency:
Gl? 1014a u.r
Office of the County Attorney Date: 0 ��
Clerk to the Board
Received for record retention:
Office of the Clerk to the Board _ Date:
Revised 6/16
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