Orange County NC Website
Browse       Search
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 Party/Vendor Contact Person: R.L.Levi Denton Contact Phone:9,0-873-2 11 Party/Vendor Address: <br /> 5240 Green's Dairy Road City Raleigh State:NC Zip:27616 Department:Planning Amoun 5 600 ose: Geotechnical <br /> Subsurface investigation Budget Code(s):61370035-880000-30040 Vendor#60991 (N/A if ndor) Vendor is a BOCC <br /> consultant? Yes❑No® Contract Type:(Check one)New® Renewal❑ Amendment ❑ Effective Date 12/21/2112 Approved by <br /> Board Yes❑No® Agenda Date: Title of Contract:Buckhorn Mebane Phase 2-Geotech <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❑Non Bid/RFP number This contract has been reviewed and approved by the Department Director as to <br /> technical content: <br /> Department Directors Signature�,. Date: <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 to of y specifications: <br /> IT Director's Signature: Date: <br /> Risk Mai a ement <br /> Include the following coverages: [v�CGL; [Auto; 9 WC; 9 Professional; ❑ Property; OR No Insurance Required El. 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: �{ A Risk Manager's Signature: 'l J� Date: 2-) <br /> Financial Services <br /> This Contract is conditioned on appropriation by the Board of Commissioners Yes❑Noff", A budget amendment is necessary <br /> before approval Yes❑No . 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: azk, • /J"X— Date: 2- 1t- 1-? <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 Managerz(Most other contracts$1,000 and above). Department Director approval only❑ (Under <br /> $1,000). This contract has been reviewed approved by the Attorney as to legal form and sufficiency: <br /> Attorney's Signature ilk _ Dater <br /> County Manager <br /> This contract has been reviewed and is approved by the County Manager Ye�❑. <br /> This contract has been reviewed and is for si ature bar the Chair Yes❑N <br /> Manager's Signature: Date: <br /> __y1_ <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 />