2016-112-E DEAPR - W.L. Bishop - Change Order to 2015-499-E for wet soil

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DocuSign Envelope ID: E4349D49-1523-4646-AC79-1BC3F4B5D445 GEC UNTY- EPA T ENT USE ONLY Department Party/Vendor Name: W. L. Bishop Party/Vendor Contact Person: Jerry Smith Contact Phone: 919-732-2546 Party/Vendor Address:2211 Leah Dr. City Hillsborough State: NC Zip:27278 Department: DEAPR Amount: 82,603 Purpose:Construct a parking area Budget Code(s): 61370035 880000 20027 Vendor # 059867 (N/A if new vendor) Vendor is a BOCC consultant? Yes ❑ NoZ Contract Type: (Check one) New Z Renewal ❑ Amendment ❑ Effective Date 9/15/2015 Approved by Board Yes[]NoZ Agenda Date: This agreement is approved as to technical form and content: DocuSigned by: Department Director's Signaturl rde" Q,&*r Date: I-33888MAM3423 9/10/2015 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: •DocuSigned by: Office of the Risk Management Office L0615 AUS& bVVXff6 Date: —7FDCF9176800498 Financial Services This instrument has been pre-audited in the manner required by the Local Government Budget and Fiscal Control Act: Docusigned by: Office of the Chief Financial Office vil Date: 9/10/2015 Legal Services This agreement is approved as to legal form and sufficiency: DocuSigned by: Office of the County Attorne Date: EAMD33EDBA8465... 9/11/21J15 Clerk to the Board Received for record retention: All Docusign contracts must be copied to Donna Lloyd upon completion @ Dolloyd aorangecountync.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: Revised 10/14 10