Orange County NC Website
Revised 11/19 <br /> <br />ORANGE COUNTY—DEPARTMENT USE ONLY <br />_____________________________________________________________________________________________________ <br /> <br />Party/Vendor Name: 63750Pickard Roofing, Inc. Party/Vendor Contact Person: Frank Meunier Contact Phone: 919-682-5702 Party/Vendor Address: <br />823 East Trinity Ave City Durham State: NC Zip: 27702 Department: AMS Amount: 0.00 (No cost change, contract extension only) Purpose: <br />Extend the existing contract substanstial completion date due to shorted shippment of cedar shakes by manufacturer. Budget Code(s): N/A Vendor # <br />63750 (N/A if new vendor) Vendor is a BOCC consultant? Yes No Contract Type: (Check one) New Renewal Amendment <br />Effective Date 1/8/2020 Approved by Board Yes No Agenda Date: <br /> <br /> <br />This agreement is approved as to technical form and content and I as Department Director affi rmatively state work on this project has not been initiated <br />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 agreement have already begun or been <br />completed please briefly describe the nature of the emergency condition that was addressed: No work started prior to contract being signed. <br /> <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 /> <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 /> <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 /> <br /> <br />DocuSign Envelope ID: 3B87F10C-6ED4-42E7-9B4C-3A90EA293EB8 <br />6/5/2020 <br />6/5/2020 <br />6/5/2020 <br />6/6/2020