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Revised 06/21 <br /> ORANGE COUNTY—DEPARTMENT USE ONLY <br />______________________________________________________________________________ <br /> <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 State: <br />NC Zip: 27607 Department: Planning & Inspections Amount: $306,180.00 for Amendment #1 (total contract price is $744,180.00) <br />Purpose: Contract Amendment #1 to Existing Construction Contract for the Lake Orange Erosion Control Barrier Replacement Project <br />– ADDITION OF ALTERNATE-1 SCOPE Budget Code(s): #61370035-880000-10074 Vendor # 67488 (N/A if new vendor) <br />Vendor is a BOCC consultant? Yes No Contract Type: (Check one) New Renewal Amendment Effective Date <br />March 25, 2022 Approved by Board Yes No Agenda Date: January 18, 2022 for Original Contract and March 15, 2022 for <br />Contract Amendment #1 --- For Section XIV. c. contracts only, Approved by Board in Current FY Budget Yes No <br /> <br />This agreement is approved as to technical form and content and I as Department Director affirmatively state work on this project has <br />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 agreement have <br />already begun or been completed please briefly describe the nature of the emergency condition that was addressed: <br /> <br />Information Technologies <br /> <br />(Applicable only to hardware/software purchases or related services) This agreement has been reviewed and is approved as to <br />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 />Clerk to the Board <br /> <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 /> <br />Office of the Clerk to the Board __________________________________________Date:_________ <br />DocuSign Envelope ID: 728B9CE0-812A-45E1-9198-7EEBE2CA7EF6 <br />3/24/2022 <br />3/25/2022 <br />3/28/2022 <br />3/28/2022