HomeMy WebLinkAboutR 2019-042 Planning - Moffat Pipe change order 7 c;LC) J q ()
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ORANGE COUNTY- - -DEPARTMENT USE ONLY- mmHARD 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 : $ 5 , 928 . 93 Purpose : Change Order # 7 Budget Code(s) : 61370035 - 8800040054 PO# 1801056
Vendor # 64870 (N/A if new vendor) Vendor is a BOCC consultant? Yes ❑ No ® Contract Type : (Check one)
New ❑ Renewal ❑ Amendment ❑ Effective Date Approved by Board Yes ❑ No ❑ Agenda
Date .
This agreement is approved as to tec cal form and cont t :
� l
Department Director ' s Signature Date :
l. �
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 / � , t i , Date : ! ' g
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Financial Services
This instrument has been pre- audited in the er require b the Local Government Budget and Fiscal Control
Act .
Office of the Chief Financial Officer Date . f
Legal Services
This agreement is approved as to legal or
d suffic ' ncy :
Office of the County Attorney Date . J
Clerk to the Board
Received for record retention :
Office of the Clerk to the Board Date .
Revised 6/ 16