HomeMy WebLinkAboutR 2019-235 AMS - Terracon Sportsplex Field House special inspections change order 1 DocuSign Envelope ID:69AD1F06-F34D-47CE-9E90-CAC736E68170
ORANGE COUNTY-DEPARTMENT USE ONLY
Department
Party/Vendor Name: Terracon Party/Vendor Contact Person: Ryan Pratt (Ryan.Pratt(a)terracon.com) Contact Phone: 919.436.25
Address: 2401 Brentwood Rd, Ste 107 City Raleigh State: NC Zip: 27604 Department: AMS Amount: $10,679.18 Purpose: Y
Services Required to Complete Project. Budget Code(s): 54540030-880000 Vendor# 60991 (N/A if new vendor) Vendor is a F
Yes ❑ No® Contract Type: (Check one) New ❑ Renewal ❑ Amendment ® Effective Date 12-6-2018 Approved by Boar
Agenda Date:
This agreement is approved as to technical form and content:
Department Director's Signature[ P1"'R ftm, Date: 12/20/2018
Asset Management
(Applicable only to construction contracts)This agreement has been reviewed and is approved as to construction services content and
�
Office of the Asset Management Directo� �mv, Date:12/20/2018
Risk Management
This agreement is approved for sufficiency of insurance standards, specifications,and requirements:
Office of the Risk Management Office QGs� �a��#f° Date: 12/21/2018
Financial Services
This instrument has been pre-audited in the manner required by the Local Government Budget and Fiscal Control Act:
PL Office of the Chief Financial Officer Date:4/15/2019
Legal Services
This agreement is approved as to legal form and sufficiency:
Office of the County Attorney �' wf s Date 4/16/2019
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:
Revised 10/17