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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)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$53,405.00 to $57,136.00 b. adding$3,731 to <br /> contract Purpose: Sheriff's Office Waterproofing Project — Add Piping to drain line 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 2/16/2021 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 Vwll a" Date: 2/16/2021 <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 etl by: <br /> ffi Oce of the Risk Management Office IL(Asa(mu&r Date: 2/16/2021 <br /> rrssrsi�aese�se._ <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( Docu&gnetl by: <br /> z/v/2o21 <br /> Office of the Chief Financial Officer CIIN Date: <br /> iDaes�e�ncc�aos_. <br /> Legal Services <br /> This agreement is approved as to legal form and sufficiency: <br /> D Sig-d by. <br /> Office of the County Attorney J0stf�hm, Date: z/v/zozl <br /> s.,.Fseeeeee9are_. <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 />