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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: Legacy Research Associates Party/Vendor Contact Person: Deborah Joy Contact Phone:919-215-6469 <br /> Party/Vendor Address: 125 West Woodridge Drive City Durham State:NC Zip:27707 Department:Planning Arno . 25 100.00 <br /> (not to exceed) Purpose:Cultural and Archaeological Survey of Buckhorn Mebane Phase 2 Utility corridor Budget s : 35- <br /> 870000-30042 Vendor#43430 (N/A if new vendor) Vendor is a BOCC consultant? Yes❑No® Contract Type: (Check one)New <br /> ® Renewal❑ Amendment ❑ Effective Date 3/18/2013 Approved by Board Yes❑No® Agenda Date: Title of <br /> Contract: C&A Buckhorn Ph 2 <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: <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 info ati n technology specifications: <br /> IT Director's Signature: Date: <br /> Risk Management <br /> Include the following coverages: dCGL; d Auto; 9 WC; ❑ Professional; Er/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: U,41 �w /✓ Date: 1�—t 3 <br /> Financial Services <br /> This Contract is conditioned 9pon appropriation by the Board of Commissioners Yes❑Nold A budget amendment is necessary <br /> before approval Yes[:]Noy. 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: a ' & Date: 3-1 �_j 3 <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 Managey�allost other contracts$1,000 and above). Department Director approval only❑ (Under <br /> $1,000). This contract has be n rev'ow preued by the Attorney as to legal form and sufficiency: <br /> - <br /> Attorney's Signature c� Date: 3 13 <br /> County Manager <br /> This contract has been reviewed and is approved by the County Manager Y o❑. <br /> This contract has been reviewed and is for signature by th C Yes❑N <br /> Manager's Signature: Date: CF � <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 />