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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 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: Terracon Consultants,Inc.. Party/Vendor Contact Person: Aaron Ezzell Contact Phone:919-873-2211 <br /> Party/Vendor Address:5240 Green's DaiLy Road City Raleigh State:NC Zip:27616 Department: Solid Waste Amount:not to exceed <br /> j 13,146.00 Purpose: Walnut Grove Church Road Solid Waste Convenience Center Construction Materials Testing Budget Code(s): <br /> 5035 3030 880000 Vendor#60991 (N/A if new vendor) Vendor is a BOCC consultant? Yes❑NoZ Contract Type:(Check one) <br /> New 0 Renewal El Amendment ❑ Effective Date 9/19/12 Approved by Board YesF]NoM Agenda Date: Title of <br /> Contract:Walnut Grove CMT <br /> If this is a Grant Agreement,pre-application has been approved by the Board of Commissioners Yes❑No❑. If submitted for bid were <br /> bids/RFPs received Yes❑NoZ Bid/RFP number This contract has been reviewed and approved by the Department Director as to <br /> technical content: <br /> Department Director's Signature: Date: <br /> IT Director <br /> (Applicable only to hardware/software pnurchalseorrelated services)This contract has been reviewed and approved by the Information <br /> Technology Director as to technical content and information technolo specifications: <br /> IT Director's Signature: Date: <br /> Risk Mapagement <br /> Include the following coverages: L—y/CGL; 1�Auto; M WC; M Professional; ❑ Property; OR No Insurance Required El. Hold <br /> Contract pending receipt of Certificate of Insurance M. With incorporation of Insurance provisions as shown,this contract is approved <br /> by the Risk Manager: <br /> Risk Manager's Signature: A A41– Date: qfiqlew <br /> Financial Services <br /> This Contract is conditioned ypon appropriation by the Board of Commissioners Yes❑NoW A budget amendment is necessary <br /> before approval Yes❑Nol V1. 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: rfik,� /A / -' Date: <br /> County Attorney <br /> Approval by Board ❑ (Contracts $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[N (Most other contracts$1,000 and above). Department Director approval only F-1 (Under <br /> $1,000). This contract has be reviewed and approved by the Attorney as to legal form and sufficiency: <br /> Attorney's Signature :4:�Iah Date: q11,q11t <br /> dCounty Manager <br /> This contract has been reviewed and is approved by the County Manager Ypen-NoFT <br /> This contract has been reviewed and is for si YesFjNo[?.'� <br /> Manager's Signature: Date: <br /> Clerk to the Board <br /> Approved by BOCC on the day of 20 7 Su d 4r Chair signature on the (day of 20 <br /> _ A, <br /> Clerk's Signature: Date: <br /> V <br /> Revised March 2012 <br />