HomeMy WebLinkAboutR 2019-326 AMS - Sasser Flooring change order DocuSign Envelope ID:701EAF9E-D724-42ED-A571-523FBF449F2C
ORANGE COUNTY-DEPARTMENT USE ONLY
Department
Party/Vendor Name: Sasser Flooring and Design Party/Vendor Contact Person: Kevin Sasser (kevin2(&sassercompanies.com)
336.449.1144/919.964.1801 Party/Vendor Address: 7237 Pace Drive City Whitseee State: NC Zip: 27377 Department: Sheriff:
Add$2,341.14 to existing PO 1902222 for a total PO amount of$35,156.10 Purpose: Change order toincrease the scope of work for
carpet and cove base to be installed over the weekends 1 Budget Code(s): 10710030-803000 Vendor# 65632 (N/A if new vends
BOCC consultant? Yes ❑ No® Contract Type: (Check one) New ❑ Renewal ❑ Amendment ® Effective Date 6/6/19 A]
Yes❑No® Agenda Date:
This agreement is approved as to technical form and content:
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Department Director's Signature Date: 6/6/2019
Asset Management
(Applicable only to construction contracts)This agreement has been reviewed and is approved as to construction services content and
Qtan �/anx
Office of the Asset Management Directoz�IX Date:6/6/2019
Risk Management
This agreement is approved for sufficiency of insurance standards, specifications,and requirements:
Office of the Risk Management Office kGs� �a��#f° Date:6/6/2019
Financial Services
This instrument has been pre-audited in the manner required by the Local Government Budget and Fiscal Control Act:
Office of the Chief Financial Office Date:6/8/2019
Legal Services
This agreement is approved as to legal form and sufficiency:
Office of the County Attorney �'�"" ��° Date:6/10/2019
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