R 2015-165 AMS - Lomax Construction Co, Inc. - Change Order #2 unforeseen field conditions (contingency) allowance reconciliation

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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: Lomax Construction Company,Inc. Party/Vendor Contact Person: Charlie Johnson Contact Phone:336-992- 7000. Party/Vendor Address:PO Box 35169 City Greensboro State:NC Zip:27425 Department:AMS Amount: $13,050 Purpose: Proposed Change Order#2-unforeseen field conditions(contin ency),allowance reconciliation Budget Code(s):61370035-880000- 10028 Vendor#62290 (N/A if new vendor) Vendor is a BOCC consultant? Yes❑No® Contract Type:(Check one)New❑ Renewal❑ Amendment ® Effective Date 2/23/15 Approved by Board Yes®No❑ Agenda Date: 12/10/13 Title of Contract: Whiffed Meeting,Room If this is a Grant Agreement,pre-application has been approved by the Board of Commissioners Yes❑No❑. If submitted for bid were bids/RFPs received Yes®Nor-1 Bid/RFP number 1218This contract has been reviewed and approved by the Department Director as to technical content: Department Director's Signature: Date: IT Director (Applicable only to hardware/software purchases or related services)This contract has been reviewed and approved by the Information Technology Director as to technical content and information technology specifications: IT Director's Signature: x Date: Risk Management Include the following coverages: ❑ CGL; ❑ Auto; ❑ WC; ❑ Professional; ❑ Property; OR No Insurance Required ❑. Hold Contract pending receipt of Certificate of Insurance ❑. With incorporation of Insurance provisions as shown,this contract is approved by the Risk Manager: D � 9 � [I L'1 Risk Manager's Signature: Date: III MAR 3 1 2015 Financial Services l This Contract is conditioned upon appropriation by the Board of Commissioners Yes❑No❑. A �dgetamench;nent is necess before approval Yes❑No❑. If budget amendment is necessary,please attach to this form. This instru e manner required by the Local Government B and Fiscal Control Act: Financial Services Director's Signature: I 1:1t `2IM 0Qe_6?k Date: ly County Attorney Approval by Board ❑ (Contracts $901000.00 r more for goods or services, $250,000.00 or more for construction, or any BOCC consultant contract). Approval by Manager Most other contracts$1,000 and above). Department Director approval only❑ (Under $1,000). This contract has begn reviewed and a roved by the Attorney as to legal form and sufficiency: Attorney's Signature �— Date: i County Manager This contract has been reviewed and is approved by the County Manager Yes[9 No❑. This contract has been reviewed and is for signature by the C'h�air�Yes❑No❑. Manager's Signature: /� I .N` Date: 7 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