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o?o L-3-ZZO <br /> 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: Hobbs,Upchurch&Associates Party/Vendor Contact Person: Robert Bernard,P.E. Contact Phone: 910-692-5616 <br /> Party/Vendor Address: 300 SW Broad Street City Southern Pines State:NC Zip:28387 Department:Planning&Inspections Amount: <br /> $159,500 Purpose: Construction Administration and Inspection-Original Agreement Amendment#3 Budget Code(s): 61370035- <br /> 870000-30040 Vendor#60465 (N/A if new vendor) Vendor is a BOCC consultant? Yes❑No® Contract Type: (Check one)New <br /> ❑ Renewal❑ Amendment ® Effective Date Approved by Board Yes®No❑ Agenda Date: 9/18/2012 Title of <br /> Contract: BM Phase 2-Construction Administration&Inspection-Contract Amendment#3 <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 /> v <br /> Department Director's Signatur . Date: 'lr( <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 Mana ement <br /> Include the following coverages: dcGL; [ Auto; E37WC, ❑ Professional; 0'Property; OR No Insurance Required ❑. Hold <br /> Contract pending receipt of Certificate of Insurance E]. With incorporation of Insurance provisions as shown,this contract is approved <br /> by the Risk Manager: <br /> Risk Manager's Signature: a"► ��' `�'"'� Date: - 1 I3 <br /> Financial Services <br /> This Contract is conditioned on appropriation by the Board of Commissioners Yes❑No[g/ A budget amendment is necessary <br /> before approval Yes❑No[YIf 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 Con of Act: <br /> Financial Services Director's Signature: Vl.a v i, Date: 1/1 <br /> County Attorney <br /> Approval by Board N (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 reviewed and approved 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 Y No❑. <br /> This contract has been reviewed and is for signature by tAe Chair Yes o❑. <br /> Manager's Signature: � � " �� Date: 7. <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 />