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2021-077-E AMS - Strickland Waterproofing contract amendment
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2021-077-E AMS - Strickland Waterproofing contract amendment
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2/19/2021 4:01:35 PM
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2/19/2021 2:22:37 PM
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DocuSign Envelope ID: B88A1D41-360D-4202-B502-E623035F9170 <br /> ORANGE COUNTY—DEPARTMENT USE ONLY <br /> Party/Vendor Name: Strickland Waterproofing Company, Inc. Party/Vendor Contact Person: Randy Strickland <br /> (rstrickland(a),stricklandwaterproofin .cg om) Contact Phone: 704.347.1347 Party/Vendor Address: 500 North Hoskins Road <br /> City Charlotte State: NC Zip: 28216 Department: AMS Amount: $51,700 Purpose: Sheriffs Office Waterproofing Uniform <br /> Room and Exterior Budget Code(s): 61370035-882000-30002 Vendor# 66543 (N/A if new vendor) Vendor is a BOCC <br /> consultant? Yes ❑ No® Contract Type: (Check one) New ® Renewal ❑ Amendment ❑ Effective Date 9/l/2020 <br /> 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 <br /> project has not been initiated prior to execution of the agreement: <br /> D S'g g by: <br /> Department Director's Signatur Sf�4WV s/zs/zozo <br /> e���� Date: <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: N/A <br /> Risk Management <br /> This agreement is approved for sufficiency of insurance standards, specifications,and requirements: <br /> 0 S'9 aby: 8/25/2oZo <br /> Office of the Risk Management Office>'USOL�6""� ° Date: <br /> FDCFST9BSfR695.. <br /> Financial Services <br /> DS This instrument has been pre-audited in the manner required by the Local Government Budget and Fiscal Control Act: <br /> P( 0 Sig—by: <br /> Office of the Chief Financial Office Date: <br /> s/z7/zozo <br /> Legal Services <br /> This agreement is approved as to legal form and sufficiency: <br /> D S'g g by <br /> Office of the County Attorne '�hyyiv, Date:8/28/2020 <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 10 <br />
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