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Revised 11/19 <br />ORANGE COUNTY—DEPARTMENT USE ONLY <br />______________________________________________________________________________ <br /> <br />Party/Vendor Name: J.F. Wilkerson Contracting Company, Inc. Party/Vendor Contact Person: Brian Wilkerson <br />Contact Phone: 919-422-0570 Party/Vendor Address: P.O. Box 183 City Morrisville State: NC Zip: 27560 <br />Department: Planning Amount: $181,600.00 Purpose: Change Order #4 for Efland Sewer to Mebane, Phase 2 <br />Extension Construction Contract (Force Main Flushing and Capping) Budget Code(s): 61370035-880000-30044 <br />Vendor # 55607 (N/A if new vendor) Vendor is a BOCC consultant? Yes No Contract Type: (Check one) <br />New Renewal Amendment Effective Date June 15, 2020 Approved by Board Yes No Agenda <br />Date: June 20, 2017 (BOCC delegated authority for Change Orders to County Manager) <br /> <br />This agreement is approved as to technical form and content and I as Department Director affirmatively state work on <br />this project has not been initiated prior to execution of the agreement: <br /> <br /> <br />Department Director’s Signature ________________________________________ Date: ________ <br />Agreements for emergency services or repair are not subject to the above affirmation. If services related to this <br />agreement have already begun or been completed please briefly describe the nature of the emergency condition that <br />was addressed: <br /> <br />Information Technologies <br /> <br />(Applicable only to hardware/software purchases or related services) This agreement has been reviewed and is <br />approved as to information technology content and specifications: <br /> <br />Office of the Chief Information Officer___________________________________ Date: ________ <br /> <br />Risk Management <br /> <br />This agreement is approved for sufficiency of insurance standards, specifications, and requirements: <br /> <br />Office of the Risk Management Officer___________________________________ Date: _________ <br /> <br />Financial Services <br /> <br />This instrument has been pre-audited in the manner required by the Local Government Budget and Fiscal Control Act: <br /> <br />Office of the Chief Financial Officer ____________________________________ Date: _________ <br /> <br />Legal Services <br /> <br />This agreement is approved as to legal form and sufficiency: <br /> <br />Office of the County Attorney __________________________________________Date: ________ <br /> <br /> <br />Clerk to the Board <br /> <br />Received for record retention: <br />All Docusign contracts must be copied to Sherri Ingersoll upon completion: singersoll@orangecountync.gov <br />The following signature block is for hard copies only and is not required for Docusign contracts: <br /> <br />Office of the Clerk to the Board __________________________________________Date:_________ <br />DocuSign Envelope ID: EF2C51EE-BFAF-4354-B5BA-37D765616264 <br />6/10/2020 <br />6/11/2020 <br />6/11/2020 <br />6/12/2020