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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: Clarion Associates,LLC Party/Vendor Contact Person: Roger Waldon Contact Phone:919-245-2658 <br /> Party/Vendor Address: 101 Market Street, Suite D City Chapel Hill State:NC Zip:27516 Department:AMS Amount:not to exceed <br /> $141,300.00 Purpose:Amendment to Agreement for Professional Services-Southern Human Services Master Plan Budget Code(s): <br /> 61370035-870000-10027 Vendor#N/A (N/A if new vendor) Vendor is a BOCC consultant? Yes®No❑ Contract Type: (Check <br /> one)New® Renewal❑ Amendment ❑ Effective Date 5/15/2012 Approved by Board Yes®No❑ Agenda Date: 10/16/2012 <br /> Title of Contract: Southern Master Plan <br /> If this is a Grant Agreement,pre-application has been approved by the Bo d of Comm' ion Yes❑No❑. If submitted for bid were <br /> bids/RFPs received Yes®No❑ Bid/RFP number 518IThi/cOhtr s e evie d a _pproved by the Department Director as to <br /> technical content: ®®/� <br /> Departmen irector's Signature: ���f1G" Date: A 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 tec o gy specifications: <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 ❑. With incorporation of Insurance provisions as shown,this contract is approved <br /> by the Risk Manager: } <br /> Risk Manager's Signature: �`� �� Date: t T 1 L <br /> Financial Services <br /> This Contract is conditioned pon appropriation by the Board of Commissioners Yes❑Nod A budget amendment is necessary <br /> before approval Yes❑Nod 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 Bud tt and Fiscal Control ct: <br /> Financial Services Director's Signature:( `�'�-- Date: <br /> County Attorney <br /> Approval by Board &"(C—ontracts $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 been reviewed a roved 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 Yes[ZNo❑. <br /> This contract has been reviewed and is for signature by the Chair Yes�No❑. <br /> Manager's Signature: ` Date: r ! ,IV <br /> 1 ' <br /> C rk to the Board <br /> Approved by BOCC on the_day of 120 Submitted for Chair signature on the day of ,20 <br /> Clerk's Signature: Date: <br /> Revised March 2012 <br />