Orange County NC Website
DocuSign Envelope ID:98CAB32E-1814-4C97-B61E-B14BE79B81EA <br /> ORANGE COUNTY-DEPARTMENT USE ONLY <br /> Party/Vendor Name: FSC II,LLC(d.b.a. Fred Smith Company) Party/Vendor Contact Person: Ty Johnson(Vice President- <br /> Contract Services) Contact Phone: 919-582-3516 Party/Vendor Address: 701 Corporate Center Drive, Suite 101 City Raleigh <br /> State:NC Zip: 27607 Department: Planning&Inspections Amount: $438,000.00 Purpose: Construction of the Lake Orange <br /> Erosion Control Barrier Replacement Project - BASE BID SCOPE ONLY Budget Code(s): #61370035-880000-10074 <br /> Vendor#N/A (N/A if new vendor) Vendor is a BOCC consultant? Yes ❑ No® Contract Type: (Check one)New <br /> Renewal 0 Amendment ❑ Effective Date January 18,2022 Approved by Board Yes®No❑ Agenda Date: December 14, <br /> 2021 ---For Section XIV. c.contracts only,Approved by Board in Current FY Budget Yes❑No[—] <br /> This agreement is approved as to technical form and content and I as Department Director affirmatively state work on this <br /> project has not been initiated prior to execution of the agreement: <br /> Department Director's Signature �°2 _ Date: <br /> 1/10/2022 <br /> Agreements for emergency services or repair are not subject to the above affirmation. If services related to this agreement have <br /> already begun or been completed please briefly describe the nature of the emergency condition that was addressed: <br /> Risk Management <br /> This agreement is approved for sufficiency of insurance standards,specifications,and requirements: <br /> Office of the Risk Management Officer QUA Cewulte Date1/10/2022 <br /> Financial Services <br /> This instrument has been pre-audited in the manner required by the Local Government Budget and Fiscal Control Act: <br /> Office of the Chief Financial Officer Date: 1/10/2022 <br /> r., <br /> Legal Services <br /> This agreement is approved as to legal form and sufficiency: <br /> Office of the County Attorney �aw�s ta"^ Date: 1/12/2022 <br /> �3]'302315dSAdF$... <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 06/21 8 <br />