HomeMy WebLinkAboutR 2020-045 AMS - Racanelli PFAP freezer installation change order 1Revised 11/19
ORANGE COUNTY—DEPARTMENT USE ONLY
_____________________________________________________________________________________________________
Party/Vendor Name: Racanelli Construction South, Inc Party/Vendor Contact Person: Scott Drebitko (sdrebitko@racanelliconstruction.com) Contact
Phone: 919.363.3600 Party/Vendor Address: 1001 Pemberton Hill Road Ste 202 City Apex State: NC Zip: 27502 Department: AMS Amount:
$351.00 Purpose: PFAP Freezer Installation remove existing disconnects Budget Code(s): 30600030-800000-71370 Vendor # 62962 (N/A if new
vendor) Vendor is a BOCC consultant? Yes No Contract Type: (Check one) New Renewal Amendment Effective Date 1/25/2020
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 not been initiated
prior to execution of the agreement:
Department Director’s Signature ________________________________________ Date: ________
Agreements for emergency services or repair are not subject to the 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: N/A
Risk Management
This agreement is approved for sufficiency of insurance standards, specifications, and requirements:
Office of the Risk Management Officer___________________________________ Date: _________
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 Officer ____________________________________ 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:
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:_________
DocuSign Envelope ID: 3B5EFA61-95FF-432C-8D9C-9ECE68C8B0F7