Orange County NC Website
aLf a <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: J.F. Will son C actin Co an Party/Vendor Contact P n: Jos Will r-s Contact Phone: 919-467- <br /> 1829 Pary/Vend Address: 10 10 Chape oad City Morrisville State:NC Zi epartment: Plannine Amount: <br /> ($237,810.72 ose: Chance Order#5(FINAL)-Final adjustment of actual field installed quantities for Central Efland portion of the <br /> ro' resents FINAL change order Budget Code(s):61370035-880000-30042 Vendor#55607 (N/A if new vendor) Vendor is a <br /> BOCC consultant? Yes ❑No® Contract Type: (Check one)New❑ Renewal ❑ Amendment ® Effective Date 8/21/2012 <br /> Approved by Board Yes®No❑ Agenda Date: 8/23/2011 Title of Contract: Sanitary Sewer Improvements for Buckhorn Area <br /> North of I-85 &Central Efland <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 . Dater <br /> d <br /> IT Director <br /> (Applicable only to hardware/software purchases or related services)This c tract has been reviewed and approved by the Information <br /> Technology Director as to technical content and information techno ogy sp cifcations: <br /> IT Director's Signature: Date: <br /> Risk na a ent <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❑No[/ A budget amendment is necessary <br /> before approval Yes❑NoM.. 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 gel and Fiscal Control Act: <br /> A <br /> Financial Services Director's Signature: Date: 6 <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 been review 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 anager Yes io❑. <br /> This contract has been reviewed and is for ' ture by the C it Yes❑NoW_- ___�_ <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 of 20 <br /> Clerk's Signature: Date: <br /> Revised March 2012 <br />