Orange County NC Website
(g o\�k \20RANGE 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 /> J30CC 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: Freelon Group Architects Party/Vendor Contact Person: Derek Jones Contact Phone:919-941-9790 Party/Vendor <br /> Address:5310 S.Alston Avenue City Durham State:NC Zip:27713 Department:Library Amount:not to exceed$29,500 base <br /> services,not to exceed$1,500 for reimbursables Purpose: Southern Branch Library Facilitation Budget Code(s):61370035-870000- <br /> 10050 Vendor#N/A (N/A if new vendor) Vendor is a BOCC consultant? Yes❑No® Contract Type:(Check one)New <br /> Renewal❑ Amendment ❑ Effective Date 1/23/14 Approved by Board Yes®No❑ Agenda Date: 1/23/14 Title of Contract: <br /> Southern Library Facilitation <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 n r 5198This contract has been reviewed and approved by the Department Director as to <br /> technical content: <br /> Department Di ctor's Si ure :,/ /1 ✓ <br /> I ire or <br /> (Applicable only to hardware/so are purchases or rel ted s This contract has been reviewed and approved by the Information <br /> Technology Director as to technical content and inform io echnology specifications: <br /> IT Director's Signature: Date: <br /> � 'sk Mana ement <br /> Include the following coverages: ❑ CGL; ❑ Auto; ❑ C; ❑ Professional; ❑ Property; OR No Insurance Required ❑. Hold <br /> Contract pending receipt of Certificate of Insurance ❑. With incorporation of Insurance provisions as sho � c�tr�t �ppr <br /> by the Risk Manager: u <br /> Risk Manager's Signature: ��.t . Date: JAN TO 2013 <br /> 71 F <br /> Financial Services By <br /> This Contract is conditioned on appropriation by the Board of Commissioners Yes❑NoQ� A budge a <br /> before approval Yes❑NoNIf 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 Contr 1 Act,�""�`" <br /> g / <br /> Financial Services Director's Signature: w A,.— Date: <br /> County Attorney <br /> Approval by Board ❑ (Contracts $90,000.00 0 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 an ro d by the Attorney as to legal form and sufficiency: <br /> Attorney's Signature Date"?— <br /> County Manager <br /> This contract has been re=,.by the County ager Yes[✓]No❑.This contract has been reur t hair Yes❑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 20 <br /> Clerk's Signature: Date: <br /> Revised March 2012 <br />