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%/ 4 <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: Hobbs,Upchurch&Associates Party/Vendor Contact Person: Bill Lester Contact Phone: 910-692-5616 <br /> Party/Vendor Address: 300 SW Broad Street City Southern Pines State:NC Zip:28388 Department:Planning Amount: $192,000 <br /> Purpose: Engineering Design Budget Code(s):Project#30040 Vendor# (N/A i dor is a BOCC consultant? <br /> Yes®No❑ Contract Type: (Check one Renewal❑ Amendment Effective Date November�20pproved by <br /> Board Yes®No❑ Agenda Dat . 11/4/2010 itle of Contract:Buckhorn-Mebane EDD Water and Sewen Project-Phase <br /> II <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 RFP 95164This contract has been reviewed and approved by the Department Director <br /> as to technical content: <br /> 47/1 <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: ' t-{ • 1�/(� <br /> }Q.e,e 'et 1/34-0// <br /> Financial Services <br /> This Contract is conditioned upon appropriation by the Board of Commissioners Yes❑Nov. 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: <br /> Vg Financial Services Director's Si nature: A Date: <br /> County Attorney <br /> Approval by Board ontracts over $90,000.00 for goods or services, $250,000.00 for construction, or any BOCC consultant <br /> contract). Approval by Manager ❑ (All other contracts). This contract has been reviewed and approved by the Attorney as to legal <br /> form and sufficiency: <br /> g <br /> Attorney's Signature - Date: 0/ o/q <br /> County Manager <br /> This contract has been reviewed and is approved by the County Manager Ye No❑. <br /> This contract has been reviewed and is to be submitted r BOCC consid ation Yes _ T�o❑. <br /> Manager's Signature: Date: <br /> Clerk to the Board . . <br /> Approved by BOCC on the o ,20L. Submitted for Chair signature on the day of 2Q,/ <br /> Clerk's Signature: Date: <br /> Revised April 2010 /1 l� <br />