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 Fontract 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: Perkins+Will Architects Party/Vendor Contact Person: Joseph Wagner Contact Phone:919-433-53 .. <br /> Party/Vendor Address:PO Box 14747 City Research Triangle Park State:NC Zip:27709 Department:AMS Amount: 0-Pro Bo <br /> see contract section 1.1.5 Purpose:Deseign and Engineering Services for Historic Rogers Road Communi Center.L 1 and <br /> Street, Chapel Hill,NC 27516 Budget Code(s):#10054 Vendor#N/A (N/A if new vendor) Vendor is a BOCC co V Yes❑ <br /> Non Contract Type: (Check one)New® Renewal❑ Amendment ❑ Effective Date 3/15/2013 Approved by Board Yes❑No <br /> ® Agenda Date:N/A Title of Contract:Rogers Road Community 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 N/AThis contract has been reviewed and approved by the Department Director as to <br /> technical content: <br /> 3 tg l3 <br /> Department Director's 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 technology specifications: <br /> IT Director's Signature: Date: <br /> /Risk Management <br /> Include the following coverages: 5(CGL; Auto; M 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: U• �!''"" Date: �2� <br /> Financial Services <br /> This Contract is conditioned on appropriation by the Board of Commissioners Yes❑No[g�l A budget amendment is necessary <br /> before approval Yes❑NoIf budget amendment is necessary,please attach to this form. This instrument has been pre-audited in the <br /> manner required by the Local Government Bu/d►/get and Fiscal Control Act: <br /> Financial Services Director's Signature: Date: <br /> County Attorney <br /> Approval by Board ❑ (Contracts $90,000.00 pr 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 bee rev' we 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 Yesu<LNo❑. <br /> This contract has been reviewed and is Lure he Chair YesgNo❑. j <br /> Manager's Signature: Date: 7,Z" <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 2.012 <br /> �,(�.. /,��IUA.G�v1+�� !�" �v�Qiwty G•Z>�- � � l�trr• 17�"-� r 6�-� TV�I�-�- <br />