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\3 '�\ 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: McGill Associates Party/Vendor Contact Person: Doug Chapman,PE Contact Phone: 828-217-3609 <br /> Party/Vendor Address: 1240 19`"Street,Lane NW City Hickory State:NC Zip:28603 Department: Planning&Inspections Amount: <br /> $142,000,Purpose: Water.Sewer,Desien Services.Surveying/Environmental and Water/Sewer Construction Oversight Budget <br /> ode(s): Art 46 1/4 ct sales t)Nendor#60857 (N/A if new vendor) Vendor is a BOCC consultant? Yes❑No❑ <br /> (bids/RFPs ontract Type:(Check one)New❑ Renewal❑ Amendment ❑ Effective Date 10/15/13 Approved by Board Yes®Non <br /> genda Date: 10/15/13 Title of Contract:Wilson Industrial Park <br /> this is a Grant Agreement,pre-application has been approved by the Board of Commissioners Yes❑No❑. If submitted forbid were <br /> received Yes❑No❑ Bid/RFP number This contract has been reviewed and approved by the Department Director as to <br /> chnical content: <br /> 1,)370355—emoaz- <br /> 1 <br /> Department Director's Signat e' 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 tec of specifications: <br /> IT Director's Signature: Date: <br /> Risk anaige ment <br /> Include the following coverages: ❑ CGL; ❑ Auto; ❑ W -, ❑ Professional; ❑ Property; OR No Insurance Required ❑. Hold <br /> Contract pending receipt of Certificate of Insurance ❑. With incorppration of Insurance provisions as shown,this contract is approved <br /> by the Risk Manager: („Q v-4..,,6. <br /> Risk Manager's Signature: 4, - <br /> Date: <br /> Financial Services <br /> This Contract is conditione on appropriation by the Board of Commissioners Yes❑No� 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 et and Fiscal Control Act:` <br /> Financial Services Director's Signature: z:tw— / 'r-V. Date: p io' o <br /> �o1aa <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 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: 1 S l <br /> Count Mana er <br /> This contract has been reviewed and is ap ov by the County Manager Yes o❑. <br /> This contract has been reviewed s f i e the it Yes❑No❑. <br /> c <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 />