2012-016 S Solid Waste - Suttles Surveying $ 10,000.00

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ORANGE COUNT CONTRACT CONTROL SHEET .outing Order: 1 Department, 2 IT, Risk Management, 4 Financial Services, Attorney, Manager, 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: Suttles S rve .' Party /Vendor Contact Person: Jaynes Sutties Contact Phone: 828 - 652 -9382 Panty /vendor Address: 40 S Main St Suit 200 City Marion State: NC Zip: 28752 Department: S. i-ast Amount: < $10,000 Purpose: P ovicie Annual T'opograhic n of prtion or all of Landfill pty Budget des: 50351020 - 630000 Vendor ## 46119 (NA if new ...l. v&d-o-rT Vendor is a BOCC consultant? Yes No ontr ct Type: (Check one) Nevi E] Renewal ® Amendment Effective Date 02/01/2012 Approved by Board Yeso NoZ Agenda Date: Title of Contract: Suttics Surveying If this is a Grant Agreement, pre- application has been approved by the Board of Commissioners Ye O NoEl. If submitted for hid were bids R Ps received YesFj NoEj Bid FP number This contract has been reviewed and approved by the Dcpatiment Director as to technical content: Department Director's Signature: CC) C) AP Date: -�. IT Direefnr (Applicable only to har&varelsofAvarepurchases 97 related ' r r' This contract has been reviewed and approved by the Information Technology Director as to technical content and information technology specifications: ■ r ectn't i Risk Mann ernent Include the following coverages. CGS,; Auto; ; Professional; Property; No Insurance R. c�uir d �, Hold G n *act pending receipt of Certificate of Insurance 'firth incorporation of Insurance provisions as b r , this contract is approved by the Risk Manager: Disk Manager's Si nat.nrc: � Date. 0/ - f� Financial Services This Conti-act is condition d upon appropriation by the Board of Commissioners Ye No . A budget amendment is necessary before approval Yes ] NoLU. If 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 Control Act: Financial Services Director's Signature: Date: es�, I County Attorney' Approval by Board Ll (Contracts $90,000.00 or more for goods or services, $250,000.00 or more for construction, or any BOCC consultant contract). Approval by Manager (All other contracts). This contract has been reviewed and approved by the Attorney as to legal form and sufficiency: Attorney's Signature Date: County Managger This contract has been reviewed and is approved by the Co my Manager Ye NoF1 This contract has been reviewed and is for si n jure t Chair Yes [:]N Manager's Signature: Date: � Clerk to the Board Approved by BCC on the clay of , 20 Submitted for Chair signature on the � day of � 20 Clerk's Signature: Date: Revised November 2011.