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DocuSign Envelope ID:489DFD84-DFCE-4E07-BB35-5F6A708DFA3A <br /> ORANGE COUNTY-DEPARTMENT USE ONLY <br /> Department <br /> Party/Vendor Name: Lomax Construction,Inca Party/Vendor Contact Person: Charlie Johnson Contact Phone: 336-992-7000 <br /> Party/Vendor Address: PO Box 35169 City Greensboro State: NC Zip: 27425 Department: AMS Amount: 246,600.00 <br /> Purpose: D.S.S Expansion Budget Code(s): 104000130-803000 Vendor#62290 (N/A if new vendor) Vendor is a BOCC <br /> consultant? Yes ❑ No® Contract Type: (Check one) New ® Renewal ❑ Amendment ❑ Effective Date 8/07/2015 <br /> Approved by Board Yes❑No® Agenda Date: <br /> This agreement is approved as to technical form and content: <br /> Department Director's Signature�S s 74 w Date: 8/8/2015 EaaoA46�FS«ga <br /> Information Technologies <br /> (Applicable only to hardware/software purchases or related se�vicell This agreement has been reviewed and is approved as to <br /> information technology content and specifications: <br /> Office of the Chief Information Officer ff Date: <br /> Risk Management <br /> This agreement is approved for sufficiency of insurance standards,specifications, and requirements: <br /> D 5'g tl by: <br /> Ql3a(ovu.cl{° 8/9/2015 <br /> Office of the Risk Management Officer Date: <br /> Financial Services <br /> This instrument has been pre-audited in the manner required by the Local Government Budget and Fiscal Control Act: <br /> Office of the Chief Financial Officer P"" °�`' Date: <br /> 8/10/2015 <br /> Legal Services <br /> This agreement is approved as to legal form and sufficiency: <br /> Office of the County Attorney Date: 8/10/2015 <br /> Clerk to the Board <br /> Received for record retention: <br /> All Docusign contracts must be copied to Donna Lloyd upon completion @ I)oI kwd'gwmnLrccowitvnc.Ljov <br /> The following signature block is for hard copies only and is not required for Docusign contracts: <br /> Office of the Clerk to the Board Date: <br /> Revised 10/14 10 <br />