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Revised 01/24 <br />ORANGE COUNTY—INTERNAL USE ONLY <br />______________________________________________________________________________ <br />Finance Information <br />Vendor Name: Cactx Surfaces Vendor Contact Person: Michelle Thatcher (michelle@cactxsurfaces.com) Phone: 336.575.2873 Address: PO Box 26103 City Winston <br />Salem State: NC Zip: 27114 Department: AMS Amount: Increase contact by $4547.00 Purpose: Whitted - Provide additional crosswalk stamping Budget Code(s): <br />61370035-880000-30001 Vendor # 68392 <br />Vendor Status with NCSOS: Current Active Vendor is a BOCC consultant: Yes No <br />Contract Details <br />Contract Type: New Amendment (Original Contract: 3/5/2024) (Most Recent Amendment ) <br />Effective Date 3/5/2024 End Date 09/30/2024 Notice Date (Notice Purpose ) <br />Award <br /> Approved by Board (Agenda Date: ); Made or Administered by AMS <br />Signature Authority <br />- BOCC Express Delegation (Agenda Date: ) <br />- Policy 9.4: Under $5,000; Service Under $90,000; Construction Under $250,000 <br />- Budget Policy Section XV (Capital Improvement Project: 30001) <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 project has not been initiated prior to execution <br />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 completed. Description of the nature of <br />the emergency condition that was addressed: <br /> <br />Department Director’s Signature ________________________________________ 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 of insurance standards, specifications, and requirements: <br />Office of the Risk Management Officer___________________________________ Date: _________ <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: _________ <br />Legal Services <br />This agreement is approved as to legal form and sufficiency: <br />Office of the County Attorney __________________________________________Date: ________ <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 />Docusign Envelope ID: 6925B0EA-6EDC-487B-B66B-DFA9822F8383 <br />9/18/2024 <br />9/23/2024 <br />9/23/2024 <br />9/24/2024