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DocuSign Envelope ID:OEE5F167-D7B1-41B1-A2DC-6B885C50EO84 <br /> ORANGE COUNTY—DEPARTMENT USE ONLY <br /> Deuartment <br /> Party/Vendor Name: J.F. Wilkerson Contracting Company. Inc. Party/Vendor Contact Person: Mike Coates <br /> Contact Phone: (919)464-1708 Party/Vendor Address: PO Box 183 City Morrisville State: NC Zip: 27560 <br /> Department: Planning Amount: $62,215.11 Purpose: Final Change Order for Buckhorn-Mebane Phase 2 Water <br /> and Sewer Budget Code(s): 61370035-880000-30040 Vendor 4 55607 (N/A if new vendor) Vendor is a BOCC <br /> consultant? Yes ❑ No® Contract Type: (Check one) New ❑ Renewal ❑ Amendment ® Effective Date <br /> Approved by Board Yes❑No® Agenda Date: <br /> This agreement is approved as to technical form and content: <br /> DocuSigned by: <br /> p�� ,¢' ' 3/12/2015 <br /> Department Director's Signature (Yai �ajf,h,L to Date: <br /> 846D10DA3CFD4C2... <br /> Information Technologies <br /> (Applicable only to hardware/software purchases or related services)This agreement has been reviewed and is <br /> approved as to information technology content and specifications: <br /> Office of the Chief Information Officer Date: <br /> Risk Management <br /> This agreement is approved for sufficiency of insurance standards,specifications,and requirements: <br /> riussx DocuSigned''b��y: ''1111 <br /> Office of the Risk Management Officer (,bvvu,tib Date: 3/12/2015 <br /> 7FDCF9176800498... <br /> Financial Services <br /> This instrument has been pre-audited in the manner required by the Local Government Budget and Fiscal Control <br /> Act: <br /> DocuSi+gn_ed by: <br /> Office of the Chief Financial Office �j Ll b" Date: 3/19/2015 <br /> 232DFFC2CFA847B... <br /> Legal Services <br /> This agreement is approved as to legal form and sufficiency: <br /> ocu&gned by: <br /> Office of the County Attorney , bL& otxfs Date: 3/19/2015 <br /> EAAMKEMA8465... <br /> Clerk to the Board <br /> Received for record retention: <br /> All Docusign contracts must be copied to Donna Lloyd upon completion @ DolloyaLorangecoun nc. ov <br /> The following signature block is for hard copies only and is not required for Docusign contracts: <br /> Revised 10/14 <br />