R 2019-326 AMS - Sasser Flooring change order

Browse Search

DocuSign Envelope ID:701EAF9E-D724-42ED-A571-523FBF449F2C ORANGE COUNTY-DEPARTMENT USE ONLY Department Party/Vendor Name: Sasser Flooring and Design Party/Vendor Contact Person: Kevin Sasser (kevin2(&sassercompanies.com) 336.449.1144/919.964.1801 Party/Vendor Address: 7237 Pace Drive City Whitseee State: NC Zip: 27377 Department: Sheriff: Add$2,341.14 to existing PO 1902222 for a total PO amount of$35,156.10 Purpose: Change order toincrease the scope of work for carpet and cove base to be installed over the weekends 1 Budget Code(s): 10710030-803000 Vendor# 65632 (N/A if new vends BOCC consultant? Yes ❑ No® Contract Type: (Check one) New ❑ Renewal ❑ Amendment ® Effective Date 6/6/19 A] Yes❑No® Agenda Date: This agreement is approved as to technical form and content: w Department Director's Signature Date: 6/6/2019 Asset Management (Applicable only to construction contracts)This agreement has been reviewed and is approved as to construction services content and Qtan �/anx Office of the Asset Management Directoz�IX Date:6/6/2019 Risk Management This agreement is approved for sufficiency of insurance standards, specifications,and requirements: Office of the Risk Management Office kGs� �a��#f° Date:6/6/2019 Financial Services This instrument has been pre-audited in the manner required by the Local Government Budget and Fiscal Control Act: Office of the Chief Financial Office Date:6/8/2019 Legal Services This agreement is approved as to legal form and sufficiency: Office of the County Attorney �'�"" ��° Date:6/10/2019 Clerk 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 Date: Revised 10/17