2012-123 AMS - Carolina Sunrock LLC for 5501 S Franklin Street Handicapp Access Improvements

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an(a -1�.3 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: Camilina Sunrock, LLL (formerly Barrett, Irvin & Jordan Pavement & Grading) Party/Vendor Contact Person: Blake Horning Contact Phone: 919 - 956 -9900 Party/Vendor Address: 2116 Camden Avenue City Durham State: NC Zip: 27704 Department: AMS Amount: $6,930 Purpose: Handicap access improvements at 501 Franklin Street (Chapel Hill) Budget Code(s): 1024- 0320 - 570000 Vendor # 52169 (N /A if new vendor) Vendor is a BOCC consu taut? Yes NoN Contract Type: (Check one) New ® Renewal ❑ Amendment ❑ Effective Date 5/18/2012 Approved by Board Yes[] No❑ Agenda Date: Title of Contract: 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 5168, unit prices for Landfill Paving contractThis contract has been reviewed and approved by the Department Director as technical content: Department Director's Signature: Date: S • ,7- Z Z IT Director (Applicable only to hardware /software purchases or related services) This contract has been reviewed and approved by the Information Technology Director as to technical content and information technology specifications: IT Director's Signature: Date: Risk Management Include the following coverages: aCGL; [9-Auto; aWC; ❑ Professional; ❑ Property; OR No Insurance Required ❑. Hold Contract pending receipt of Certificate of Insurance El. With incorporation of Insurance provisions as shown, this contract is approved by the Risk Manager: Risk Manager's Signature: Date: 5-.Z Z • (Zi Financial Services This Contract is conditioned on appropriation by the Board of Commissioners Yes❑Nz A budget amendment is necessary before approval Yes❑ NoIf budget amendment is necessary, please attach to this form. This instrument has been pre - audited in the manner required by the Local Government Budget and Fiscal Contr Act:: � , /y►- Date: Financial Services Director's Signature: — � 2 Countv Attorne Approval by Board ❑ (Contracts $90,000.00 ore for goods or services, $250,000.00 or more for construction, or any BOCC consultant contract). Approval by Manage (All other contracts). This contract has been reviewed and approved by the Attorney as to legal form and sufficiency: Attorney's Signature Date: t 1 Countv Manager This contract has been reviewed and is approved by the County Manager Yes'No❑. This contract has been reviewed and is for signature by the hair Yes❑NoEj - Manager's Signature: Date: —� Clerk to the Board Approved by BOCC on the _ day of 20 . Submitted for Chair signature on the day of , 20 Clerk's Signature: Revised November 2011 Date: