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DocuSign Envelope ID: D776FCD3-A986-470D-9E2B-8853B19D52DF <br /> ORANGE COUNTY—DEPARTMENT USE ONLY <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: $0.00 Purpose: CO#2 to Construction Base Bid+ Alternates 1 & 2,Efland Sewer to Mebane, Phase 2 <br /> Extension Budget Code(s): 61370035-880000-30044 Vendor#55607 (N/A if new vendor) Vendor is a BOCC consultant? <br /> Yes ❑ No® Contract Type: (Check one) New ❑ Renewal ❑ Amendment ® Effective Date 04/22/2019 Approved by <br /> Board Yes®No❑ Agenda Date:06/20/2017(BOCC delegated authority for CO's to County Manager) <br /> This agreement is approved as to technical form and content and I as Department Director affirmatively state work on this <br /> project has not been initiated prior tn eXer„tin„of the--reement: <br /> DocuSigned by: <br /> � <br /> Department Director's Signature � Date: 4/16/2019 <br /> Agreements for emergency services[8411D10DA3CFD4C2_ t to the above affirmation. If services related to this agreement have <br /> already begun or been completed please briefly describe the nature of the emergency condition that was addressed: <br /> Risk Management <br /> This agreement is approved for sufficiency of insurance standards, specifications,and requirements: <br /> DocuSigned by: <br /> Office of the Risk Management Officer QUS66 L,QVln.f 6 Date: 4/16/2019 <br /> 7FDCF9176900498. <br /> Financial Services <br /> This instrument has been pre-audited in the*^�DocuSiea'jr-1by: h-the r ocal Government Budget and Fiscal Control Act: <br /> Office of the Chief Financial Officer '� � Date: 4/17/2019 <br /> 7D4E5181ACC1409. <br /> Legal Services <br /> This agreement is approved as to legal form and cnffirianrv- <br /> DocuSigned by: <br /> Office of the County Attorney �amGS aW Date: 4/17/2019 <br /> 328DC480549A4F5.. <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 />