HomeMy WebLinkAboutR 2019-352 Planning - Moffat Pipe change order 5 ao
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ORANGE COUNTY-==DEPARTMENT USE ONLY- - -HARD COPY ONLY
Department
Party/Vendor Name : Moffat Pipe , Inc . Party/Vendor Contact Person : Chris Pearson Contact Phone : 919 -235 - 5149
Party/Vendor Address : 4901 Unicorn Dr . City Wake Forest State : NC Zip : 27587 Department : Planning_&
Inspections Amount : $ 10 , 598 . 22 Purpose : Rogers Road Sewer - Change Order #5 Budget Code (s) : 61370035 -
8800040054 Vendor # 64870 (N/A if new vendor) Vendor is a BOCC consultant? Yes ❑ No ® Contract Type :
(Check one) New ❑ Renewal ❑ Amendment ® Effective Date September 24 , 2018 Approved by Board Yes
❑ No ❑ Agenda Date :
PO # 1801056 Change Order # 9
This agreement is approved as to technical f in q4ufqnt
Department Director ' s Signature Date :
Information Teftologies
(Applicable only to hardware/software purchas Phis agreement has been reviewed and is
approved as to information technology conten
Office of the Chief Information Officer Dat - -
Risk Management
This agreement is approved for sufficiency of insurance standards , specifications, and requirements .
Office of Risk Management Date : 1 OF/
l �'
Financial Services
This instrument has been pre- audited in;the anne r ired b the Local Government Budget and Fiscal Control
Act : /
Office of the Chief Financial Officer god Date .
Legal Services
This agreement is approved as to legal form and sufficiency :
Office of the County Attorney Date .
Clerk to the Board
Received for record retention :
Office of the Clerk to the Board Date . 7, 9' � l
Revised 6/ 16