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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.Wilkerson Contracting Company Party/Vendor Contact Person: Joseph Wilkerson Contact Phone: 919-467- <br /> 1829 Party/Vendor Address: 10710 Chanel Hill Rd. City Morrisville State:NC Zip:27560 Department:Plannine Amount: $0.00 <br /> Purpose:Buckhorn Mebane Utilities Phase 2 Change Order#1 Budget Code(s):61370035-880000-30040 Vendor#55607 (N/A if new <br /> vendor) Vendor is a BOCC consultant? Yes❑No® Contract Type: (Check one)New❑ Renewal <br /> ❑ Amendment ® Effective <br /> Date December 31,2013 Approved by Board Yes®No® Agenda Date: 11/08/2012 Title of Contract:Orange County Buckhorn- <br /> Mebane EDD Phase 2 Water and Sewer Improvements <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 367-286This contract has been reviewed and approved by the Department Director as <br /> to technical content: <br /> r <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: ❑ 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 condi oned upon 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 Budget ua,4-w and Fiscal Con�ol Ac t�Financial Services Director's Signature: /J• Date: I T <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 Q(Most other contracts$1,000 and above). Department Director approval only❑ (Under <br /> $1,000). This contract has been view oved 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 ap rov by the Coun Manager Yes[ONo❑. <br /> This contract has been reviewed s f si tur by t air Y s❑No❑. <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 120 <br /> Clerk's Signature: Date: <br /> Revised March 2012 <br />