2012-121 DEAPR - David Welch for Data Collection P&R Master Plan

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;k,p/k' *\ ORANGE COUNTY — CONTRACT CONTROL SHEET Routing Order: (1) Department, (2) IT, (3) Risk Management, (4) Financial Services, (5) Attorney, (6) Manager, (7) Clerk This Document shall accompany all contracts and shall be submitted for signature in the Routing Order specified above. If the Manager determines the contract is not appropriate for Manager approval the Manager shall submit the contract for BOCC approval. Contracts for BOCC approval must be submitted through, and complete, the routing process prior to agenda review. Contracts for legal review should be completed through the legal review process prior to being routed for signature. Department Party /Vendor Name: David_ Welch Party /Vendor Contact Person: David Welch Contact Phone: 919- 929 -8391 Party/Vendor Address: 20 East Drive City Chapel Hill State: NC Zip: 27516 Department: DEAPR Amount: $2,200 Purpose: Data collecti demo raphic, socioecono i and anal sis for O an e County CZareh ensive Parks and Recreatioli Master Ejap Budget Co e s): 10610020 630000 Vendor #4/36 (N /A if new vendor) Vendor is a BOCC consultant? Yes No® Contract Type: (Check one) New ® Renewal ❑ Amendment ❑ Effective Date May 2012 Approved by Board Yes❑ No® Agenda Date: Title of Contract: Demographic, Socioeconomic, and Transportation Data Collection and Analysis for Orange County Comprehensive Parks and Recreation Master Plan If this is a Grant Agreement, pre - application has been approved by the Board of Commissioners Yes❑ No[]. If submitted for bid were bids /RFPs received Yes❑ No❑ Bid /RFP number This contract has been reviewed and approved by the Department Director as to technical content: Department Director's Signature: _ Itkwo T� Date: Z IT Director (Applicable only to hardware /software purchases or related services) This contract has been reviewed and approved by the Information Technolo Director as to chh l content and information technology specifications: IT Director's 'nature: ate: Risk Management Include the following coverages: ❑ CGL; ❑ Auto; ❑ WC; ❑ Professional; ❑ Property; ❑ OR No Insurance Required [ Hold Contract pending receipt of Certificate of Insurance ❑. With incorporation of Insurance provisions as shown, this contract is approved by the Risk Manager: Risk Manager's Signature: Date: L/ kxe ad 67/7/11. a4( r n 1 cow Ccaxtiuclkoldl sip�»afuA.e� Financial Services This Contract is conditioneLupon appropriation by the Board of Commissioners Yes❑No. A budget amendment is necessary before approval Yes❑ No If budget amendment is necessary, please attach to this form. his instrument has been pre- audited in the manner required by the Local Government Budget and Fiscal Control Act: Financial Services Director's Signature: At-t,.. A � Date: County Attorney Approval by Board ❑ (Contracts over $90,000.00 for goods or services, $250,000.00 for construction, or any BOCC consultant contract). Approval by Manager,F:f All other contracts). This contract has been reviewed and approved by the Attorney as to legal form and sufficiency: Attorney's Signature Date: County Manazer This contract has been reviewed and is approved by the County Manager Y"ffl—No❑. This contract has been reviewed and is to be bmitted for B CC consideration Yes❑NoQ! Manager's Signature: Date: Jerk to the Board Approved by BOCC on the _ day of 20 . Submitted for Chair signature on the _ day of 20 Clerk's Signature: Revised April 2010 Date: