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549 <br /> CS Vii,),-u> , ORANGE COUNTY-CONTRACT CONTROL SHEET <br /> Routing Order: (1)Department,(2)IT,(3)Risk Management,(4)Financial Services,(5)Attorney,(6)Manager,(7)Clerk <br /> This Document shall accompany all contracts and shall be submitted for signature in the Routing Corder specified above. If the Manager <br /> determines the contract is not appropriate for Manager approval the Manager shall submit the contrict 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: J.F.Wilkerson Contracting Company Party/Vendor Contact Person: Joseph Wilkerson Contact Phone: 9 9-467- <br /> 1829 Party/Vendor Address: 10710 Chapel Hill Road City Morrisville State:NC Zip:27560 Department:AMS Amount: 2 507.9 <br /> Purpose: Change Order#I-Force Main Adjustment per State Approval of Outfall Design Budget Code(s):61370035-880000-30 <br /> Vendor#55607 (N/A if new vendor) Vendor is a BOCC consultant? Yes❑No® Contract T}pe:(Check one)New❑ Rene <br /> ❑ Amendment ® Effective Date 8/21/2012 Approved by Board Yes®No❑ Agenda Dab 8/23/2011 Title of Contract: <br /> Sanitary Sewer Improvements for Buckhorn Area North of I-85&Central Efland <br /> If this is a Grant Agreement,pre-application has been approved by e Bo rd o o issi rs Y(,-s®No❑. If submitted for bid were <br /> bids/RFPs received Yes❑No❑ Bid/RFP number c ac n re a approv d by a Department Director as to <br /> technical content: �� i <br /> Department Director's S nature: Date: <br /> IT Director <br /> (Applicable only to hardware/software purchases or related services)This contract has been reviewed and approved by the Information <br /> Technology Director as to technical content and information technology ecifications: <br /> IT Director's Signature: Date: <br /> Risk Management <br /> Include the following coverages: ❑ CGL; ❑ Auto; ❑ WC; ❑ Professional; ❑ Property; OR No Insurance Required ❑. Hold <br /> Contract pending receipt of Certificate of Insurance E]. With incorporation of Insurance provisions as shown,this contract is approved <br /> by the Risk Manager: / n <br /> Risk Manager's Signature: �` -� .CJ Date: � ZF /2_ <br /> Financial Services <br /> This Contract is conditioned on appropriation by the Board of Commissioners Yes❑No[d A budget amendment is necessary <br /> before approval Yes[:]No[g.If budget amendment is necessary,please attach to this form. This :nstrument has been pre-audited in the <br /> manner required by the Local Government Budget®and -Fiscal Control Act: <br /> Financial Services Director's Signature: Caw "4L— Date: Z Z <br /> County Attorney <br /> Approval by Board ❑ (Contracts $901000.00 r more for goods or services, $250,000.00 or more for construction, or any BOCC <br /> consultant contract). Approval by Managerl, (Most other contracts$1,000 and above). Department Director approval only ❑ (Under <br /> $1,000). This contract has be n re iewed proved by the Attorney as to legal form and sufficiency: <br /> Attorney's Signature � Date: <br /> County Manager <br /> This contract has been reviewed and is approved by the CounW Manager Ywa-1470❑. <br /> This contract has been reviewed and is r ature <br /> hv the C air Yes❑Nom <br /> Manager's Signature: ��-- Date: ' v <br /> Clerk to the Board <br /> Approved by BOCC on the_day of-77,:0 Submitted for Chair signature on the_day of ,20 <br /> Clerk's Signature: Date: <br /> Revised March 2012 <br />