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Docusign Envelope ID : 229D37A2- E9D2-4507-92F6-D478EEB5B7D8 <br /> ORANGE COUNTY-INTERNAL USE ONLY <br /> Finance Information <br /> Vendor Name : Williams Paving, Inc Vendor Contact Person : Gloria Williams Phone : 252-235 - 3586 Address : PO Box 383 <br /> City Bailey State : NC Zip : 27807 Department : AMS Amount : $358 ,012 . 00 Purpose : Parking Lot Resurfacing at multiply <br /> county facilities Budget Code(s) : 61370035 - 880000- 11003 Vendor # 69133 <br /> Vendor Status with NCSOS : Current - Active Vendor is a BOCC consultant : ❑Yes ® No <br /> Contract Details <br /> Contract Type : ® New ❑ Amendment (Original Contract : ) (Most Recent Amendment ) <br /> Effective Date 10/08/2025 End Date 06/30/2026 Notice Date (Notice Purpose ) <br /> Award <br /> ® Approved by Board (Agenda Date : 10/7/2025 ) ; ® Made or Administered by AMS <br /> SiEnature Authority <br /> ® BOCC Express Delegation (Agenda Date : 10/7/2025 ) <br /> Policy 9 . 4 : ❑ Under $ 5 ,000 ; ❑ Service Under $90 , 000 ; ❑ Construction Under $250 ,000 <br /> ® Budget Policy Section XV (Capital Improvement Project : 11003 Paving) <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 nature of the emergency condition that was addressed : <br /> fau Qarv4gw <br /> Department Director ' s Signature d�� � Date : 10/ 10/2025 <br /> I <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 : j <br /> ® Inapplicable because no hardware%voftivare purchases or related services I <br /> Risk Management <br /> This agreement is approved for sufficiency of insurance standards, specifications, and requirements : <br /> t Office of the Risk Management <br /> Officer A1.W 10/10/2025 <br /> g �,_, �� '``t`� 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 : 10/10/2025 <br /> Legal Services <br /> This agreement is approved as to legal form and sufficiency : <br /> Office of the County Attorney 5ut(,, hmw Date : 10/10/2025 <br /> xo� a�.w <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 : j <br /> Office of the Clerk to the Board Date : <br /> Revised 01 / 24 8 <br />