2012-350 S AMS - JF Wilkerson Contracting Company Change Order #2 Brookhollow Creek Pump Station $219,257.78

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ORANGE COUNTY-CONTRACT CONTROL SHEET Routing Order: (1)Department,(2)IT,(3)Risk Management,(4)Financial Services,(5)Attorney,(6)Manager,(7)Clerk This Document shall accompany all contracts and shall be submitted for signature in the Routing Order specified above. If the Manager determines the contract is not appropriate for Manager approval the Manager shall submit the contract for BOCC approval. Contracts for BOCC approval must be submitted through,and complete,the routing process prior to agenda review. Contracts for legal review should be completed through the legal review process prior to being routed for signature. Department Party/Vendor Name: J.F. Wilkerson Contracting Comi2my Party/Vendor Contact Person: Joseph Wilkerson Contact Phone:919-467- 1829 Party/Vendor Address: 10710 Chapel Hill Road City Morrisville State:NC Zip:27560 Department:AMS Amount:$219,257.78 Purpose:Change Order#2-Deepening of Brookhollow Creek Pump Station 12er State Approval of Outfall.Design Budget Code(s): 61370035-880000-30042 Vendor#55607 (N/A if new vendor) Vendor is a BOCC consultant? Yes E]NoZ Contract Type:(Check one)New El Renewal❑ Amendment Z Effective Date 8/21/2012 Approved by Board Yes[D Non Agenda Date: 8/23/2011 Title of Contract:Sanitary Sewer Improvements for Buckhorn Area North of 1-85&Central Efland ' If this is a Grant Agreement,pre-application has been approved by the Board of ommissi rs YesZ No q. If submitted for bid were bids/RFPs received Yes❑Non Bid/RFP number Thi ac s r * e -approv9dby)fie Department Director as to technical content: Department Director' ignature: //bV Date: IT Director (Applicable only to hardwarelsoftware purchases or related services)This contract has been reviewed and approved by the Information Technology Director as to technical content and information techno specifications: IT Director's Signature: Date: Risk Management Include the following coverages: ❑ CGL; ❑ Auto; ❑ WC; ❑ Professional; ❑ Property; OR No Insurance Require r9. Hold Contract pending receipt of Certificate of Insurance E]. With incorporation of Insurance provisions as shown,this contract is approved by the Risk Manager: ff/2j-fl 2, Risk Manager's Signature: affL44.-, Al zk__ Date: Financial Services This Contract is conditioned upon appropriation by the Board of Commissioners Yes❑No2.' A budget amendment is necessary before approval Yes❑Non. If budget amendment is necessary,please attach to this form. This instrument has been pre-audited in the manner required by the Local Government Budget and Fiscal Control Act: Financial Services Director's Signature: "Y' A--, Date: County Attorney Approval by Board ❑ (Contracts $90,000.00 or more for goods or services, $250,000.00 or more for construction, or any BOCC consultant contract). Approval by ManageLoll(`Most other contracts$1,000 and above). Department Director approval only❑(Under $1,000). This contract has been reviewed,w"proved by the Attorney as to legal form and sufficiency: ( L Attorney's Signature Date: /0_� County Manager This contract has been reviewed and is approved by the County Manager Y oEl. This contract has been reviewed and is for signature by the Chair Yes❑No e()- v ,/171� Manager's Signature: Date: Clerk to the Board Approved by BOCC on the day of 20__. Submitted for Chair signature on the_day of 120_. Clerk's Signature: Date: Revised March 2012