HomeMy WebLinkAboutR 2019-555 AMS - Sasser Soltys Phase II change order 1 DocuSign Envelope ID:4A03D7DC-9143-4585-A738-51E13A50C13F
ORANGE COUNTY—DEPARTMENT USE ONLY
Party/Vendor Name: Sasser Companies Party/Vendor Contact Person: Kevin Sasser Contact Phone: 336-516-5140 Party/Vendor
10 City Whittset State: NC Zip: 27337 Department: AMS Amount: $1,875 Purpose: Change Order#1 Budget Code(s): 61370C
Vendor#65006 (N/A if new vendor) Vendor is a BOCC consultant? Yes ❑No® Contract Type: (Check one)New❑ Renewa
❑ Effective Date 8/13/2019 Approved by Board Yes❑No® Agenda Date:
This agreement is approved as to technical form and content and I as Department Director affirmatively state work on this project has
prior to execution of the agreement:
DocuSigned by:
IS
� 9MA 8/13/2019
Department Director's Signature Date:
Agreements for emergency services or repair are not suoject to the above affirmation. If services related to this agreement have alread:
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:
DocuSiggp'nted_by:
.
Office of the Risk Management Officer aUsa LQ b Date/14/2019
7FDCF9176900498.
Financial Services
This instrument has been pre-audited' Docusigned by: the Local Government Budget and Fiscal Control Act:
I 41 � 8/16/2019
Office of the Chief Financial Office ` Date:
7D4E51S1ACC1409.
Legal Services
This agreement is approved as tcDEAA3D3aED&AW5_
' D"igned by:' _iciency:
Office of the County Attorney6� K6k� Date: 8/19/2019
.
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 12/18