HomeMy WebLinkAboutR 2019-300 Planning - J F Wilkerson contract amendment DocuSign Envelope ID:4469B057-D1AA-45FE-A32F-766286B600AF
ORANGE COUNTY—DEPARTMENT USE ONLY
Party/Vendor Name: J.F. Wilkerson Contracting Co.,Inc. Party[Vendor Contact Person: John Patrick Contact Phone: (919)
467-1829, Ext. 8 Party/Vendor Address: P.O. Box 183 City Morrisville State: NC Zip: 27560 Department: Planning &
Inspections Amount: $4,268.00 Purpose: CO#3 to Construction Base Bid+Alternates 1 &2,Efland Sewer to Mebane,Phase
2 Extension Budget Code(s): 61370035-880000-30044 Vendor # 55607 (N/A if new vendor) Vendor is a BOCC
consultant? Yes ❑ No® Contract Type: (Check one) New ❑ Renewal ❑ Amendment ® Effective Date 05/25/2019
Approved by Board Yes®No❑ Agenda Date:06/20/2017 (BOCC delegated authority for CO's to County Manager)
This agreement is approved as to technical form and content and I as Department Director affirmatively state work on this
project has not been initiated prior to execution of the agreement:
DocuSigned by:
�rN,_
Department Director's Signature "' a ,2..� � � �� Date: 5/23/2019
Agreements for emergency services or ref s4aa,oDA3CFD4c2. e above affirmation. If services related to this agreement have
already begun or been completed please briefly describe the nature of the emergency condition that was addressed:
Risk Management
This agreement is approved for sufficiency of insurance standards, specifications,and requirements:
Docusigned by: 5/2 3/2019
Office of the Risk Management Officer aUS66 (,6�6 Date:
7FDCF91768004M.
Financial Services
This instrument has been pre-audited in the manner required by the Local Government Budget and Fiscal Control Act:
Docusigned by: 5/24/2019
Office of the Chief Financial Officer ( Date:
7NE5181ACC1409.
Legal Services
This agreement is approved as to legal form and sufficiency:
Do"Signed by-
Office of the County Attorney �amGs avu Date: 5/28/2019
328DC480549A4F5..
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 12/18 $