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P4- zD <br /> 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: Legacy Research Associates Party/Vendor Contact Person: Deborah Joy Contact Phone: 919-682-2408 <br /> Party/Vendor Address: 125 West Woodridge Drive City Durham State:NC Zip:27707 Department: Asset Management Amount:Not <br /> to exceed$10,000.00 Purpose: Change Order#1 to Contract 42013-124: C&A Monitorine the Geortherman Well Trenching at t Old <br /> Courthouse,Jail and the Market House/Riverwalk Park Budget Code(s): 10240320-630000 Vendor#43430 (N/A if new vendor) <br /> Vendor is a BOCC consultant? Yes❑No® Contract Type: (Check one)New❑ Renewal❑ Amendment ® Effective Date March <br /> 2014 Approved by Board Yes❑No❑ Agenda Date: Title of Contract: <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 This contract has been reviewed and approved by the Department Director as to <br /> technical content: f <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 Inst rance Re uired . Hold <br /> Contract pending receipt of Certificate of Insurance ❑. With incorporation of Insurance provisions as sho _ i cTjft R Irr� <br /> by the Risk Manager: <br /> Risk Manager's Signature: Z21" > 0 Date: APR 3 0 2014 <br /> Financial Services By <br /> This Contract is conditioned�tpon appropriation by the Board of Commissioners Yes❑No[ A budget amendment is necessary <br /> before approval Yes❑NoM. 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 and Fiscal Control Act• t <br /> Financial Services Director's Signature: �' 'o "_— Date: <br /> 515 <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 01 other contracts$1,000 and above). Department Director approval only❑ (Under <br /> $1,000). This contract has been rev' wePpproved 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 approved the County Manager Yes No❑. <br /> This contract has been reviewed an i for r by ha* s❑ ❑. <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 />