Orange County NC Website
ORANGE COUNTY—CONTRACT CONTROL SIFIEET <br /> Routing Order: (1)Department,(2)IT,(3)Risk Management,(4)Financial Services,(5)Aftomey,(6)Manager,(7)Clerk <br /> This Document shall accompany all contracts and shall be submitted for signature in the Routing Order specified above. If the Manager <br /> determines the contract is not appropriate for Manager approval the Manager shall submit the contract for BOCC approval. Contracts for <br /> BOCC approval must be submitted through,and complete,the routing process prior to agenda review. Contracts for legal review should <br /> be completed through the legal review process prior to being routed for signature. <br /> Department <br /> Party/Vendor Name: RN&MjFn�Inc. Party/Vendor Contact Person: Steve Kaufman Contact Phone:828-456-9851 <br /> Party/Vendor Address:409 North Haywood Street City Waynesville State:NC Zip:28786 Department:AMS AmounL$17a.62.5- <br /> Purpose:Design,Bidding and Construction Administration Professional Services for Community Geothermal Budget Code(s): <br /> 61370035- Vendor#44863 (N/A if new ven or endor is a BOCC consultant? Yes❑NoO Contract Type:(Check <br /> one)New —Renewal❑ Amendment­o Effective Date August 21,2012 Approved by Board Yes[D No❑ Agenda Date: <br /> 8/21/2012 Title of Contract:Community GSHP <br /> If this is a Grant Agreement,pre-application has been approved by the Board of Commissioners Y,.-s❑No❑. If submitted for bid were <br /> bids/RFPs received YesZ No❑ Bid/RFP 5numb�er 5168This c een A w and r,>d b)the?epartment Director as to <br /> technical content: <br /> Department Direct jl6s�Signature: ate: <br /> IT ire for <br /> (Applicable only to hardware/software purchases or related service his contract has been reviewed and approved by the Information <br /> service <br /> 4 <br /> Technology Director as to technical content and information technol ecifications: <br /> IT Director's Signature: Date: <br /> Risk Manaeement <br /> Include the following coverages: 191CGL; [Auto; E9/WC; [aProfessional; ❑ Property; OR No Insurance Require ❑. Hold <br /> Contract pending receipt of Certificate of Insurance ❑. With incorporation of Insurance provisiois as shown,this contract is approved <br /> by the Risk Manager: <br /> Risk Manager's Signature: Date: <br /> Financial Services <br /> This Contract is conditioned on appropriation by the Board of Commissioners Yes❑Noa/ A budget amendment is necessary <br /> before approval Yes❑NoLY. If budget amendment is necessary,please attach to this form. This instrument has been pre-audited in the <br /> manner required by the Local Government Budget and Fiscal Control Act: <br /> Financial Services Director's Signature: Date: <br /> County Attorney <br /> Approval by Board'Er'(`C—Ontracts $90,000.00 or more for goods or services, $250,000.00 or Fiore for construction, or any BOCC <br /> consultant contract). Approval by Manager❑ (A other contracts). This contract has been reviewed and approved by the Attorney as <br /> to legal form and sufficiency: <br /> Attorney's Signature Date. <br /> County Manager <br /> This contract has been reviewed and is approved by the County Manager Y <br /> ,pn NoEl. <br /> This contract has been reviewed and is for signature by the C r Yes No❑. <br /> i9y e7 <br /> Manager's Signature: Date: <br /> �Clerk to the Board <br /> Approved by BOCC on the—day of Submitted for Chair signature on the day of 20 <br /> Clerk's Signature: Date: <br /> Revised November 2011 <br />