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 - <br /> Party/Vendor Address:2211 Leah Drive City Hillsborough State:NC Zip:28012 Department: Solid Waste Amount 25 872 <br /> Purpose: CO#4-Geo-Tech fabric,unsuitable soils,building repairs,concrete compactor pad extension,threshold and gu itions to <br /> White Goods building- Walnut Grove Church Road Solid Waste Convenience Center Budget Code(s): 5035 3030 880000 Vendor# <br /> 59867 (N/A if new vendor) Vendor is a BOCC consultant? Yes❑No❑ Contract Type: (Check one)New❑ Renewal❑ <br /> Amendment ® Effective Date 8/21/12 Approved by Board Yes®No❑ Agenda Date: 8/21/12 Title of Contract: Walnut Grove <br /> Convenience Center <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 367-284This contract has been reviewed and approved by the Department Director as <br /> to technical content: f� <br /> Department Director's Signature: Date: <br /> 3- v 3/,11(3 <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 technology 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: <br /> Financial Services <br /> This Contract is conditioned on appropriation by the Board of Commissioners Yes❑NoEX' 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 Bud t and Fiscal Control Act: <br /> V <br /> Financial Services Director's Signature: (yCL1_4_t1_ �1, Date: <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 ManagerMost other contracts$1,000 and above). Department Director approval only❑ (Under <br /> $1,000). This contract has b en vie an proved by the Attorney as to legal form and sufficiency: <br /> i �_t <br /> Attorney's Signature 'mil Date: 3_ r <br /> County Manager <br /> This contract has been reviewed and is approved by the County Manager Yes f No❑. <br /> This contract has been reviewed and is for signature by t e Chai Yes❑No.�21 <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 oi: ,20 <br /> Clerk's Signature: Date: <br /> Revised March 2012 <br />