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3-0 t4 <br /> l5 NaNGE 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: McGill Associates Party/Vendor Contact Person: Doug Chapman Contact Phone: 82 38-202 Party/Vendor <br /> Address: 1236 19fl'Street,Lane NW City Hickory State:NC Zip:28601 Department: Planning Amou 94 0.0 ose: <br /> Engineering Consultant Budget Code(s):61370035-870000-30043 Vendor#60857 (N/A if new vendor a BOCC <br /> consultant? Yes❑No® Contract Type: (Check one)New® Renewal❑ Amendment ❑ Effective Date 01/24/2013 Approved by <br /> Board Yes®No❑ Agenda Date: 01/24/2013 Title of Contract:McGowan Creek Interceptor Engineering <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❑No❑ Bid/RFP number This contract has been reviewed and approved by the Department Director as to <br /> technical content: <br /> Department Director's Signatur . Date: l <br /> IT Director o�12$�ro13 in 9MS ��� <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 technology specifications: <br /> IT Director's Signature: Date: <br /> Risk Management <br /> Include the following coverages: dCGL; [12/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: "l `�'' //> 11 `— Date: Z -12-12 <br /> Financial Services <br /> This Contract is conditioned pon appropriation by the Board of Commissioners Yes❑No[d A budget amendment is necessary <br /> before approval Yes❑NOR. 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: (�"/,i'��.�., ✓l /�� Date: I Z 1-2 <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❑ (Most other contracts$1,000 and above). Department Director approval only❑ (Under <br /> $1,000). This contract has been revi ed and approved by the Attorney as to legal form and sufficiency: <br /> Attorney's Signature Date: _�2' <br /> County Manager <br /> This contract has been reviewed and is approved by the Coujig Maria Weeskj No❑. <br /> This contract has been reviewed and is for si tore b t�ye <br /> Manager's Signature: Date: <br /> Jerk 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 />