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<br />Revised 2/17 <br /> <br /> <br />8 <br /> <br />ORANGE COUNTY—DEPARTMENT USE ONLY <br /> <br />______________________________________________________________________________ <br />Department <br /> <br />Party/Vendor Name: J.F. Wilkerson Contracting Co., Inc. Party/Vendor Contact Person: John Patrick Contact Phone: (919) <br />467-1829, Ext. 8 Party/Vendor Address: P.O. Box 183 City Morrisville State: NC Zip: 27560 Department: Planning & <br />Inspections Amount: $149,449.09 Purpose: CO #1 to Construction Base Bid + Alternates 1 & 2, Efland Sewer to Mebane, <br />Phase 2 Extension Budget Code(s): 61370035-880000-30044 Vendor # 55607 (N/A if new vendor) Vendor is a BOCC <br />consultant? Yes No Contract Type: (Check one) New Renewal Amendment Effective Date 12/20/2018 <br />Approved by Board Yes No Agenda Date: 06/20/2017 (BOCC delegated authority for CO's to County Manager.) <br /> <br />This agreement is approved as to technical form and content: <br /> <br />Department Director’s Signature ________________________________________ Date: ________ <br /> <br /> <br />Asset Management <br /> <br />(Applicable only to construction contracts) This agreement has been reviewed and is approved as to construction services <br />content and specifications: <br /> <br />Office of the Asset Management Director__________________________________ Date: ________ <br /> <br /> <br />Risk Management <br /> <br />This agreement is approved for sufficiency of insurance standards, specifications, and requirements: <br /> <br />Office of the Risk Management Officer___________________________________ Date: _________ <br /> <br /> <br />Financial Services <br /> <br />This instrument has been pre-audited in the manner required by the Local Government Budget and Fiscal Control Act: <br /> <br />Office of the Chief Financial Officer ____________________________________ Date: _________ <br /> <br /> <br />Legal Services <br /> <br />This agreement is approved as to legal form and sufficiency: <br /> <br />Office of the County Attorney __________________________________________Date: ________ <br /> <br /> <br />Clerk to the Board <br /> <br />Received for record retention: <br />All Docusign contracts must be copied to Donna Lloyd upon completion @ Dolloyd@orangecountync.gov <br /> <br />The following signature block is for hard copies only and is not required for Docusign contracts: <br /> <br />Office of the Clerk to the Board __________________________________________Date:_________ <br />DocuSign Envelope ID: A6E80449-4F51-48F6-85DB-7136A80CD513 <br /> <br /> <br /> <br /> <br />