2021-168-E DEAPR-Civil Construction adminstration services

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DocuSign Envelope ID: FF970415-DFD4-471 E-A810-EC458D56AC5E ORANGE COUNTY—DEPARTMENT USE ONLY Party/Vendor Name: Civil Consultants, Inc. Party/Vendor Contact Person: Michael Fiocco Contact Phone: 919-490-1645 Party/Vendor Address: 3708 Lyckan Parkway, Suite 201 City Durham State: NC Zip: 27707 Department: DEAPR Amount: This amendment is to increase the original contract amount by$8,000.00. For a new contract amount of$36,800.00 Existing PO Number is 1901873-00 Purpose: to include limited construction administration services to include site visits and participation in site meetings, responses to RFIs, and shop drawing review for the replacement culverts. Budget Code(s): 61370035 860000 20003 Vendor# 62089 (N/A if new vendor) Vendor is a BOCC consultant? Yes ❑ No® Contract Type: (Check one) New ❑ Renewal ❑ Amendment ® Effective Date 3/8/21 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: DocuSigned by: Department Director's SignatureRqw, s{q,tti,ut Date: 3/17/2021 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: 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' F,§%ndards, specifications,and requirements: Q�tSa rbVluAb 3/17/2021 Office of the Risk Management Officer 08 Date: Financial Services This instrument has been pre-audited in thGoWAWI bpquired by the Local Government Budget and Fiscal Control Act: Office of the Chief Financial Office3/17/2021 IrM4E5181ACC1409 �� Date: .. Legal Services This agreement is approved as h gg,46. VA0nd sufficiency: Office of the County Attorn y, Date: 3/18/2021 EAA3D33ED8A8465... 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