2021-002-E AMS - Summit Engineering and Design Northern Campus change order 2

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DocuSign Envelope ID: ED6FF2DD-02CB-4F05-B8F6-FF36E16E1598 ORANGE COUNTY—DEPARTMENT USE ONLY Party/Vendor Name: Summit Design and Engineering Services, PLLC Party/Vendor Contact Person: Don Dewey (Don.Dewey(&,summitde.net) or Troy Dover (Troy.Dover(a)summitde.net) Contact Phone: 70919.732.3883 Party/Vendor Address: 320 Executive Court City Hillsborough State: NC Zip: 27278 Department: AMS Amount: $5000 to increase contract to $270,238.00 Purpose: This change amendment is to increase the not to exceed amount of the existing contract for Construction Materials Testingand nd Special Inspections Budget Code(s): 61370035-870001-10064 ($1,325) 61370035-870002-10064 ($3,675) Vendor # 53403 (N/A if new vendor) Vendor is a BOCC consultant? Yes ❑ No® Contract Type: (Check one) New ❑ Renewal❑ Amendment ® Effective Date 1/8/2021 Approved by Board Yes❑No® Agenda Date: This agreement is approved as to technical form and content and I as Department Director affirmatively state work on this project has not been initiated prior to execution of the agreement: D Sg tlby: Department Director's Signature Sf�a" 1/7/2021 Date: —.----xDDgcogertmai-ac3_. Agreements for emergency services or repair are not subject to the above affirmation. If services related to this agreement have already begun or been completed please briefly describe the nature of the emergency condition that was addressed: N/A Information Technologies (Applicable only to hardware/software purchases or related services)This agreement has been reviewed and is approved as to information technology content and specifications: Office of the Chief Information Officer Date: Risk Management This agreement is approved for sufficiency of insurance standards,specifications,and requirements: D Sig etl by: Office of the Risk Management Office aGsa(,an'u,$e Date:11712021 Financial Services S This instrument has been pre-audited in the manner required by the Local Government Budget and Fiscal Control Act: �V D Sig tl by: Office of the Chief Financial Officer L 0—.& ` Date:1/9/2021 Legal Services This agreement is approved as to legal form and sufficiency: D Sig—by: Office of the County Attorne 6%rc .kniv, Date:1/11/2021 Clerk to the Board Received for record retention: All DocuSign contracts must be copied to the Clerk upon completion: occlerkdocs@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 07/20