R 2013-496 Planning - McGill Associates for Roadway design to serve the Wilson Industrial Park $75,000

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ORANGE COUNTY—CONTRACT CONTROL SHEET Routing Order: (1)Department,(Z)IT,(3)Risk Management,(4)Financial Services,(5)Attorney,(6)Manager,(7)Clerk This Document shall accompany all contracts and shall be submitted for signature in the Routing Order specified above. If the Manager determines the contract is not appropriate for Manager approval the Manager shall submit the contract for BOCC approval. Contracts for BOCC approval must be submitted through,and complete,the routing process prior to agenda review. Contracts for legal review should be completed through the legal review process prior to being routed for signature. Department Party/Vendor Name: McGill Associates Party/Vendor Contact Person: Doug Chapman,P.E. Contact Phone: 828-217-3609 Party/Vendor Address: 1240 19`x'Street,Lane NW City Hickory State:NC Zip:28603 Department:Planning&Inspections Amount: $75,000 Purpose:Roadway design to serve the Wilson Industrial Park Budget Code(s):61370035-870000-30045 Vendor#60857 (N/A if new vendor) Vendor is a BOCC consultant? Yes❑No❑ Contract Type: (Check one)New❑ Renewal❑ Amendment ❑ Effective Date 11/15/13 Approved by Board Yes❑No® Agenda Date: Title of Contract: Wilson Industrial Park Road If this is a Grant Agreement,pre-application has been approved by the Board of Commissioners Yes❑No❑. If submitted for bid were bids/RFPs received Yes,No❑ Bid/RFP number This contract has been reviewed and approved by the Department Director as to technical content: Department Director's Signat Date: IT Director (Applicable only to hardware/software purchases or related services)This contract has been reviewed and approved by the Information Technology Director as to technical content and information technology specifications: IT Director's Signature: Date: Risk Management Include the following coverages: ❑ CGL; ❑ Auto; ❑ WC; ❑ Professional; ❑ Property; OR No Insurance Required ❑. Hold Contract pending receipt of Certificate of Insurance ❑. With incorporation of Insurance provisions as shown,this contract is approved by the Risk Manager: fg Risk Manager's Signature: Date: /2 Iz13 Financial Services This Contract is condi 'oned upon appropriation by the Board of Commissioners Yes No❑. A budget amendment is necessary before approval Yes No❑. If budget amendment is necessary,please attach to this form. This instrument has been pre-audited in the manner required by the Local Government Bud et and Fiscal Control Act: Financial Services Director's Signature: �'�" e� �� Date: I Z S ( 3 �Z15 County Attorney Approval by Board ❑ (Contracts $90,000.00 r more for goods or services, $250,000.00 or more for construction, or any BOCC consultant contract). Approval by Manager (Most other contracts$1,000 and above). Department Director approval only❑(Under $1,000). This contract has bee revi ed an ed by the Attorney as to legal form and sufficiency: Attorney's Signature -- Date: �- County Manager This contract has been reviewed and is ap ov by the Co u Manager Yes No❑. This contract has been reviewed peflis f si y h air s❑No❑. Manager's Signature: Date: Clerk to the Board Approved by BOCC on the_day of ,20 . Submitted for Chair signature on the_day of ,20 Clerk's Signature: Date: Revised March 2012