Orange County NC Website
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: W.L.Bishop Construction,Inc. Party/Vendor Contact Person: Willie Bishop Contact Phone:919-732-2546 <br /> Party/Vendor Address:2211 Leah Drive City Hillsborough State:NC Zip:28012 Department:AMS Amount: $55,358.00 Purpose: <br /> 129 E.King Stormwater Repair Budget Code(s):61-370035-880000 Vendor#59867 (N/A if new vendor) Vendor is a BOCC <br /> consultant? Yes❑No® Contract Type: (Check one)New® Renewal❑ Amendment ❑ Effective Date 11/12/12 Approved by <br /> Board Yes❑No® Agenda Date: Title of Contract: 129 King Stormwater Repair <br /> If this is a Grant Agreement,pre-application has been approved by the Board of Commissione Yes❑No❑. If submitted for bid were <br /> bids/RFPs received Yes®No❑ Bid/RFP number 1662This ntra a e r view an proved by the Department Director as to <br /> technical content:: - <br /> Department Dirlt(r s Signature: Date: /6 r 2_ <br /> JIF <br /> IT Director <br /> (Applicable only to hardware/software purchases or related services) i contract has been reviewed and approved by the Information <br /> Technology Director as to technical content and information technolo pecifications: <br /> IT Director's Signature: Date: <br /> Risk Mana ement <br /> Include the following coverages: [�'J CGL; [� Auto; WC; ❑ Professional; Property; OR No Insurance Required ❑. 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: y Z <br /> Financial Services <br /> This Contract is conditioned on appropriation by the Board of Commissioners Yes❑No[v� A budget amendment is necessary <br /> ❑ <br /> before approval Yes No[g.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 Budg t r.d Fiscal Control A t: <br /> Financial Services Director's Signature: _ '�1%­1 -). IJ4-- Date: t L <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�D (Most other contracts$1,000 and above). Department Director approval only❑ (Under <br /> $1,000). This contract has been viewed and approved 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 County Manager YeO No❑. <br /> This contract has been reviewed and is or signatur he Chair Yes❑No[' <br /> Manager's Signature: Date: <br /> Clerk to the Board <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 />