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- PW7 <br /> C,5 a CA ORANGE COUNTY—CONTRACT CONTROL SHEET <br /> Rou ing 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: Hobbs,Upchurch&Associates Party/Vendor Contact Person: Fred Hobbs Contact Phone: 910-692-5616 <br /> Party/Vendor Address: 135 W.Connecticut Ave. City Southern Pines State:NC Zip:28387 Department:Planning&Inspections <br /> Amount: $393,000* (see attached) Purpose:Design,Permitting and Bid Management Budget Code(s):61370035-870000-30044 <br /> Vendor#60465 (N/A if new vendor) Vendor is a BOCC consultant? Yes❑No® Contract Type:(Check one)New ❑ Renewal <br /> ❑ Amendment ® Effective Date 05/08/2014 Approved by Board Yes®No[:] Agenda Date: 05/08/2014 Title of Contract: <br /> Amendment#2A-Buckhorn Mebane Phase 2 Extension <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: <br /> Department Director's Signat Date / T 14 <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 tec nology specifications: <br /> IT Director's Signature: y Date: <br /> Risk Management <br /> Include the following coverages: ❑ CGL; ❑ Auto; ❑ WC; ❑ Professional; ❑ Property; OR No Insurance Required El. Hold <br /> Contract pending receipt of Certificate of Insurance E]. With incorporation of Insurance provisions as sho <br /> by the Risk Manager: D <br /> R <br /> reir <br /> isk Manager's Signature: ��� Date: ��-7 6 MAY 2 2 20 14 <br /> Financial Services <br /> This Contract is conditioned ypon appropriation by the Board of Commissioners Yes❑No[17f. A bud B <br /> before approval Yes[:]NoLY. 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 a-nd Fiscal Control Act:� <br /> Financial Services Director's Signature: yl i�.W A4/, Date: 9I 2 I 1t4 <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❑ (Most other contracts$1,000 and above). Department Director approval only❑(Under <br /> $1,000). This contract has been r viewe approved by the Attorney as to legal form and sufficiency: <br /> Attorney's Signature f Date:" <br /> County Manager <br /> This contract has been reviewed and is approved by the County Manager Yes❑No❑. <br /> This contract has been reviewed and is for signature by the Chair 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 />