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DocuSign Envelope ID:07A4359F-6D47-4987-B1F1-BF667ACBB3BA <br /> ORANGE COUNTY-INTERNAL USE ONLY <br /> Finance Information <br /> Vendor Name: Moffat Pipe,Inc. Vendor Contact Person: Jacob King Phone: 304-231-6698 Address: 701 Finger Lakes Dr. <br /> City Wake Forest State:NC Zip: 27587 Department: Solid Waste Managment Amount: $341,995.00 Purpose:Drainage <br /> Repairs Budget Code(s): 50351020-630003 &50353020-630003 Vendor#64870 <br /> Vendor Status with NCSOS:Active Vendor is a BOCC consultant: ❑Yes ®No <br /> Contract Details <br /> Contract Type: ®New ❑Amendment(Original Contract: )(Most Recent Amendment ) <br /> Effective Date End Date Notice Date (Notice Purpose ) <br /> Award <br /> ®Approved by Board(Agenda Date: 03/19/24); ❑Made or Administered by <br /> Signature Authority <br /> ® BOCC Express Delegation(Agenda Date: 03/19/24) <br /> Policy 9.4: ❑Under$5,000; ❑ Service Under$90,000; ❑ Construction Under$250,000 <br /> ❑ Budget Policy Section XV(Capital Improvement Project: ) <br /> Bidding <br /> ❑ Informal Bidding($30k-$90k); ®Formal RFP($90k+); ❑ Other(<$30k); ❑ Exception(#_____� <br /> Department Affirmation <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;OR <br /> ❑ This agreement is approved as to technical form and content. Services related to this agreement have already begun or been <br /> completed.Description of the natur o f14C'ftKoncy condition that was addressed: <br /> 96�u WIWMS 3/31/2024 <br /> Department Director's Signature F62FEE74EA394FC... Date: <br /> Information Technologies <br /> This agreement has been reviewed and is approved as to information technology content and specifications: <br /> Office of the Chief Information Officer Date: <br /> ❑Inapplicable because no hardware/software purchases or related services <br /> Risk Management <br /> This agreement is approved for sufficiency iagMTQW@ggandards, specifications,and requirements: <br /> Office of the Risk Management Officer AULSS& 41_0" Date:4/2/2024 <br /> Financial Services <br /> This instrument has been pre-audited in mastmdoaquired by the Local Government Budget and Fiscal Control Act: <br /> 4/4/2024 <br /> Office of the Chief Financial Officer Date: <br /> Legal Services <br /> This agreement is approved as to 9p I 6l,Vyiv,Pf�W sufficiency: <br /> L�6stf L <br /> Office of the County Attorney Date:4/7/2024 <br /> Clerk to the Board <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 /> Received for record retention: <br /> Office of the Clerk to the Board Date: <br /> Revised 01/24 8 <br />