HomeMy WebLinkAbout2020-354-E-Planning - J.F. Wilkerson Contracting - Change order 4DocuSign Envelope ID: EF2C51EE-BFAF-4354-B5BA-37D765616264
6/12/2020
DocuSign Envelope ID: EF2C51EE-BFAF-4354-B5BA-37D765616264
6/12/2020
DocuSign Envelope ID: EF2C51EE-BFAF-4354-B5BA-37D765616264
Orange County (Bonnie Hammersley, County Manager)
6/12/2020
Revised 11/19
ORANGE COUNTY—DEPARTMENT USE ONLY
______________________________________________________________________________
Party/Vendor Name: J.F. Wilkerson Contracting Company, Inc. Party/Vendor Contact Person: Brian Wilkerson
Contact Phone: 919-422-0570 Party/Vendor Address: P.O. Box 183 City Morrisville State: NC Zip: 27560
Department: Planning Amount: $181,600.00 Purpose: Change Order #4 for Efland Sewer to Mebane, Phase 2
Extension Construction Contract (Force Main Flushing and Capping) 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 June 15, 2020 Approved by Board Yes No Agenda
Date: June 20, 2017 (BOCC delegated authority for Change Orders 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:
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:
Information Technologies
(Applicable only to hardware/software purchases or related services) This agreement has been reviewed and is
approved as to information technology content and specifications:
Office of the Chief Information Officer___________________________________ Date: ________
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: EF2C51EE-BFAF-4354-B5BA-37D765616264
6/10/2020
6/11/2020
6/11/2020
6/12/2020
DocuSign Envelope ID: EF2C51EE-BFAF-4354-B5BA-37D765616264