2018-113-E AMS - TA Loving Sportsplex Field House Change Order 1

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DocuSign Envelope ID: 268A3BOE -EA34- 4541- 9E6D- 48A5B8835EO5 ORANGE COUNTY - DEPARTMENT USE ONLY Department Party/Vendor Name: T.A. Loving Party/Vendor Contact Person: Evia Nelson Contact Phone: 919.734.8400 Party/Vendor Address: 400 Patetown Road City Goldboro State: NC Zip: 27530 Department: AMS Amount: $188,555.00 Purpose: Install connector between existing Sportsplex Facility and new field house Budget Code(s): 53- 40- 530 - 5300- 30 -00- 880000 Vendor # 64092 (N /A if new vendor) Vendor is a BOCC consultant? Yes ❑ No® Contract Type: (Check one) New ❑ Renewal ❑ Amendment ® Effective Date 3/14/15 Approved by Board Yes❑ No® Agenda Date: This agreement is approved as to technical form and content: D a s'g a by: C Department Director's Signature S,# A°'"� -- Date: 3/19/2018 Asset Management (Applicable only to construction contracts) This agreement has been reviewed and is approved as to construction services content and specifications: DocuSignetl by Office of the Asset Management Directo ±# 77 -.V-- Date: 3/19/2018 =gesaanasccsaass._ Risk Management This agreement is approved for sufficiency of insurance standards, specifications, and requirements: D s�gnea by: �Usa (mu,$o 3/20/2018 Office of the Risk Management Office Date: IFeeF91ig80@SE9... Financial Services P� This instrument has been pre- audited in the manner required by the Local Government Budget and Fiscal Control Act: DocuSignetl by: Office of the Chief Financial Officer �" Date: 3/31/2018 rD esm�xeetase_. Legal Services This agreement is approved as to legal form and sufficiency: D Sig —by: Office of the County Attorney��0�`" �di" Date: 4/2/2018 lerk to the Board Received for record retention: All Docusign contracts must be copied to Sherri Ingersoll upon completion: singersoll @orangecountync.gov The following signature block is for hard copies only and is not required for Docusign contracts: Office of the Clerk to the Board Revised 10/17 Date: