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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 Chapel Hill Rd. City Morrisville State:NC Zip:27560 Department:Plannin Amount: <br /> $421,500.00 Purpose:Buckhom Mebane Utilities Phase 2 Change Order 94 Budget Code(s): 61370035-880000-30040 Vendor#55607 <br /> (N/A if new vendor) Vendor is a BOCC consultant? Yes❑No® Contract Type:(Check one)New❑ Renewal❑ Amendment <br /> ® Effective Date February 27,2014 Approved by Board Yes®No❑ Agenda Date: 12/02/2013 Title of Contract: Orange <br /> County Buckhorn-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: `l <br /> Department Director's Signatu Date: <br /> IT Director <br /> (Applicable only to hardware/software purchases or related se ices)This contract has been reviewed and approved by the Information <br /> Technology Director as to technical content and informati chnology 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 shom n.this contract is approv ed <br /> by the Risk Manager: D <br /> Date: <br /> C1 <br /> Risk Manager's Signature: �= (y `°-� 0,aPR - 3 2014 <br /> -x}13 <br /> Financial Services <br /> This Contract is conditioned on appropriation by the Board of Commissioners Yes❑No[+�. A bud ndment is necessary <br /> before approval Yes❑No , . If budget amendment is necessary,please attach to this form. This instrument has Deen pre-au i e <br /> manner required by the Local Government Budget and Fiscal Control <br /> / Act: <br /> Financial Services Director's Signature: R Date: 41311 <br /> 4l3 <br /> County Attorney <br /> Approval by Board ❑ (Contracts $90,000.00 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 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 appr ve 5Lb y the County Manager Yes No❑. <br /> This contract has been reviewed an i or at e b he C air 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 />