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ORANGE COUNTY---DEPARTMENT USE ONLY---HARD COPY ONLY <br /> Department <br /> Party/Vendor Name: Moffat Pipe,Inc. Party/Vendor Contact Person: Jesse DuClau Contact Phone: 919-235-5149 <br /> Party/Vendor Address: 4901 Unicorn Dr. City Wake Forest State: NC Zip: 27587 Department: Planning_& <br /> Inspections Amount: $93,271.08 Purpose: Rogers Road Sewer - Change Order #6 Budget Code(s): 61370035- <br /> 88000-10054 Vendor#64870 (N/A if new vendor) Vendor is a BOCC consultant? Yes ❑No® Contract Type: <br /> (Check one)New ❑ Renewal ❑ Amendment ® Effective Date October 25,2018 Approved by Board Yes <br /> ❑No❑ Agenda Date: <br /> This agreement is approved as to technical and cont <br /> Department Director's Signatur - _ Date: <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 /> Office of Risk Management Date: <br /> M46cial Services <br /> This instrument has been pre-audited in the r uired by the Local Government Budget and Fiscal Control <br /> Act: <br /> Office of the Chief Financial Officer Date: <br /> Legal Services <br /> This agreement is approved as to legal form and sufficiency: <br /> Office of the County Attorney Date: <br /> Clerk to the Board <br /> Received for record retention: <br /> Office of the Clerk to the Board Date: <br /> Revised 6/16 <br />