Orange County NC Website
DocuSign Envelope ID:E0645F9B-3427-4AEC-BOD4-FF7860FOF502 <br /> ORANGE COUNTY—DEPARTMENT USE ONLY <br /> Party/Vendor Name: Bordeaux Contruction Company, Inc. Party/Vendor Contact Person: Blair Bordeaux Contact Phone: 919-220-1141 <br /> Party/Vendor Address: 135 E.Martin Street City Raleigh State:NC Zip:27601 Department:AMS Amount: 15 950 Purpose:Change Order 001: <br /> geothermal test well and conductivity report Budget Code(s): 61370035-88000-10051 Vendor#56946 (N/A if new vendor) Vendor is a BOCC <br /> consultant? Yes❑No® Contract Type:(Check one)New® Renewal❑ Amendment ❑ Effective Date 2/20/2019 Approved by Board Yes® <br /> No❑ Agenda Date:6/18/2018 <br /> This agreement is approved as to technical form and content and I as Department Director affirmatively state work on this project has not been initiated <br /> prior to execution of the agreement: <br /> o �s�y�ee ay: <br /> Q <br /> Department Director's Signature[� p6malA Date: 2/25/2019 <br /> Agreements for emergency services or repair a ee not suoject to the above affirmation. If services related to this agreement have already begun or been <br /> completed please briefly describe the nature of the emergency condition that was addressed: <br /> Risk Management <br /> This agreement is approved for sufficiency--` ---a W`"�'_-ds,specifications,and requirements: <br /> QUs& �,4Vlrtt�{6 2/25/2019 <br /> Office of the Risk Management Officer Date: <br /> 7FW,M17(W M1?8 <br /> Financial Services <br /> This instrument has been pre-audited i- oo��"s ynee tiy` the Local Government Budget and Fiscal Control Act: <br /> Office of the Chief Financial Officer[ Date: 2/25/2019 <br /> 7WFi18W,C.14N <br /> Legal Services <br /> This agreement is approved as 1 by:' ficiency: <br /> E� rhky� 2/25/2019 <br /> Office of the County Attorne <br /> Fnn.3na3Fnana4ss Date: <br /> Clerk to the Board <br /> Received for record retention: <br /> All Docusign contracts must be copied to Sherri Ingersoll upon completion: singersoll@orangecountync.gov <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 12/18 <br />