2012-391 S EDC - Town of Carrboro for Fund Repairs to the Main Street Sewerline $40,000

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C;n}.Q -B'ZI I ORANGE COUNTY—CONTRACT CONTROL SHEET Routing Order: (1)Department,(2)IT,(3)Risk Management,(4)Financial Services,(5)Attorney,(6)Manager,(7)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: Town of Carrboro Party/Vendor Contact Person: David Andrews Contact Phone: 919-918-7315 Party/Vendor Address:301 W.Main St City Carrboro State:NC Zip:27510 Department: Amount: $40,000 Purpose:Fund Repais to the Main Street sewerline Budget Code(s):Qtr Cent Sales Tax Proceeds: 34600020-900040 Vendor# (N/A if new vendor) Vendor is a BOCC consultant? Yes❑No® Contract Type: (Check one)New® Renewal❑ Amendment ❑ Effective Date October 22,2012 Approved by Board Yes❑No❑ Agenda Date: Title of Contract:Memorandum of Agreement between Orange County,NC and the Town of Carrboro,NC for repairs to the Main Street Sewerline If this is a Grant Agreement,pre-application has been approved by the Board of Commissioners Yes❑No❑. If submitted for bid were bids/RFPs received Yes❑No❑ Bid/RFP number This contract has been reviewed and approved by the Department Director as to technical content: Department Director's Signature: Date: D " �✓�1 ' IT Director (Applicable only to hardware/software purchases or related services)This con ct has been reviewed and approved by the Information Technology Director as to technical content and information technology specifications: IT Director's Signature: Date: Risk Management Include the following coverages: ❑ CGL; ❑ Auto; ❑ WC; ❑ Professional; ❑ Property; OR No Insurance Reguired I]( Hold Contract pending receipt of Certificate of Insurance❑. With incorporation of Insurance provisions as shown,this contract is approved by the Risk Manager: 7 Risk Manager's Signature: U' ;j' Date: 0 7, Z, Financial Services This Contract is conditioned on appropriation by the Board of Commissioners Yes❑NoN( A budget amendment is necessary before approval Yes❑No[.-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 d Fiscal Control Act: act,Financial Services Director's Signature: U� �- � %7 "��-' Date: � 4 Z, County Attorney Approval by Board ❑ (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 Rg(Most other contracts$1,000 and above). Department Director approval only❑(Under $1,000). This contract has beep7eviewed and approved by the Attorney as to legal form and sufficiency: Attorney's Signature Date: zoo County Manager This contract has been reviewed and is approved by the County Manager Yee o❑ This contract has been reviewed and is for signature by nhair Yes❑No Manager's Signature: Date: Clerk to the Board Approved by BOCC on the_day of ,20 . Submitted for Chair signature on the_day of 120 . Clerk's Signature: Date: kYWA VA)- P�c�s� nror� a` n�to v viu Dec 8/45W ZAS Revised March 2012