Orange County NC Website
Revised 06/21 <br /> ORANGE COUNTY—DEPARTMENT USE ONLY <br />______________________________________________________________________________ <br /> <br />Party/Vendor Name: Salas O’Brien Party/Vendor Contact Person: Adam Spach (adam.spach@salasobrien.com) Contact Phone: <br />919.383.8118 Party/Vendor Address: 1620 Midtown Place City Raleigh State: NC Zip: 27609 Department: AMS Amount: <br />Increase original contract + change amendment 1 by an additional $4600 fo r a total contract sum of $42,500.00 Purpose: Emergency <br />Services Warehouse Sprinkler Upgrades – Fire Marshal required additional items to be added to the system, which is increasing the <br />design costs. Budget Code(s): 61370035-880030-10068 Vendor # 66636 (N/A if new vendor) Vendor is a BOCC consultant? Yes <br /> No Contract Type: (Check one) New Renewal Amendment Effective Date Approved by Board Yes No <br /> Agenda Date: --- 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 hav e <br />already begun or been completed please briefly describe the nature of the emergency condition that was addressed: N/A <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: 4F3C1939-8621-4527-92D0-190EAAB065AA <br />2/7/2023 <br />2/9/2023 <br />2/9/2023