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DocuSign Envelope ID:8A3140C8-5B1B-42DF-91FA-4D1643452916 <br /> ORANGE COUNTY—DEPARTMENT USE ONLY <br /> Party/Vendor Name: Strickland Waterproofing Company, Inc Party/Vendor Contact Person: Randy Strickland <br /> (rstrickland(a)stricklandwaterproofing com) Contact Phone: 704.347.1347 Party/Vendor Address: 500 North Hoskins Road City <br /> Charlotte State: NC Zip: 28216 Department: AMS Amount: Increase contract from $51,700 to $53,405.00 b. adding $1,705 to <br /> contract Purpose: Sheriff's Office Waterproofing Project—Scope out existing drain lines Budget Code(s): 61370035-882000-30002 <br /> Vendor # 66543 (N/A if new vendor) Vendor is a BOCC consultant? Yes ❑ No® Contract Type: (Check one) New ❑ <br /> Renewal❑ Amendment ® Effective Date 1/15/2021 Approved by Board Yes❑No® Agenda Date: <br /> This agreement is approved as to technical form and content and I as Department Director affirmatively state work on this project has <br /> not been initiated prior to execution of the agreement: <br /> D 5' tl by: <br /> Department Director's Signature Vwt,gn k Date: 1/16/2021 <br /> Agreements for emergency services or repair are not subject to the above affirmation. If services related to this agreement have <br /> already begun or been completed please briefly describe the nature of the emergency condition that was addressed: NA <br /> Information Technologies <br /> (Applicable only to hardware/software purchases or related services)This agreement has been reviewed and is approved as to <br /> information technology content and specifications: <br /> Office of the Chief Information Officer Date: <br /> Risk Management <br /> This agreement is approved for sufficiency of insurance standards,specifications,and requirements: <br /> D...Sig—by: <br /> Office of the Risk Management Officer &x(anu$e Date: 1/16/zozl <br /> ]FDCFgt]gB0D49g.. <br /> Financial Services <br /> This instrument has been pre-audited in the manner required by the Local Government Budget and Fiscal Control Act: <br /> P( D...&g..by: <br /> Office of the Chief Financial Officer E_ 0-.-- Date:1/19/2021 <br /> ]Daes�e�ncc�aog_. <br /> Legal Services <br /> This agreement is approved as to legal form and sufficiency: <br /> D gig tl by: <br /> Office of the County Attorney��hyyiw Date:1/20/2021 <br /> �acsFscoDFus�Fe_. <br /> Clerk to the Board <br /> Received for record retention: <br /> All DocuSign contracts must be copied to the Clerk upon completion: occlerkdocs@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 07/20 <br />