Orange County NC Website
o 1-7 ORANGE COUNTY—CONTRACT CONTROL SHEET <br /> j <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 Order specified above. If the Manager <br /> determines the contract is not appropriate for Manager approval the Manager shall submit the contrast for BOCC approval. Contracts for <br /> BOCC approval must be submitted through,and complete,the routing process prior to agenda revicv. 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 Vilkerson Contact Phone:919_�_ <br /> 1829 Party/Vendor Address: 10710 Chapel Hill Road City Morrisville State:NQ Zip:27560 Department:AMS Amolm 670.5 <br /> Purpose:Change Order 0-Contract material unit price adjustments for Buckhorn section,unforeseen conditions contin et <br /> Code(s):61370035-880000-30042 Vendor#55607 (N/A if new vendor) Vendor is a BOCC consultant? Yes❑NoE Contract <br /> Type:(Check one)New❑ Renewal❑ Amendment Z Effective Date 8/21/2012 Approved by Board YesZ No❑ Agenda <br /> Date: 8/23/2011 Title of Contract: Sanitary Sewer Improvements for Buckborn Area North of 1-85&Central Efland <br /> If this is a Grant Agreement,pre-application has been approved b the oard of Commissi ers Yeso No❑. If submitted for bid were <br /> bids/RFPs received Yes❑No❑ Bid/RFP number c has re e d appraved Vy the 96partment Director as to <br /> technical content: zpz 7// <br /> Department Director's Si /ture: Date:—F�?3/I Z_ <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 specifications: <br /> IT Director's Signature: Date: <br /> Risk Management <br /> Include the following coverages: ❑ CGL; ❑ Auto; ❑ WC; ❑ Professional; ❑ Property; OR No Insurance Required d Hold <br /> Contract pending receipt of Certificate of Insurance❑. With incorporation of Insurance provisions 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 pon appropriation by the Board of Commissioners YesE]No[&� A budget amendment is necessary <br /> before approval Yes❑No-eplf budget amendment is necessary,please attach to this form. This instrument has been pre-audited in the <br /> manner required by the Local Government Budgi and Fiscal Co O tr I A t: f <br /> f1241Financial Services Director's Signature: - Date: i Z_ <br /> County Attorney <br /> Approval by Board �ntracts $90,000.00 or more for goods or services, $250,000.00 or more for construction, or any BOCC <br /> consultant contract). Approval by Manager❑(Most other contracts$1,000 and above). Department Director approval only❑(Under <br /> $1,000). This contract has eeryreviewed and approved by the Attorney as to legal form and sufficiency: <br /> Atto 9 e Date: < <br /> _pey s Signature---e'7 co <br /> '0") 5 <br /> County Manager ro VA Ile <br /> This contract has been reviewed and is approved by the County Manager YesF;TNoEl. <br /> 4__ — <br /> This contract has been reviewed and is for s' a -ebyt e h es NoLk' <br /> Manager's Signature: Date: <br /> 7M TCk to the Board— —C, <br /> Approved by BOCC on the_day of 20 Submitted for Chair signature on the day of _20—. <br /> Clerk's Signature: Date:-- <br /> Revised March 2012 <br />