HomeMy WebLinkAbout2012-016 S Solid Waste - Suttles Surveying $ 10,000.00ORANGE COUNT CONTRACT CONTROL SHEET
.outing Order: 1 Department, 2 IT, Risk Management, 4 Financial Services, Attorney, Manager, Clerk
This Document shall accompany all contracts and shall be submitted for signature in the Routing Order specified above. If the Manager
determines the contract is not appropriate for Manager approval the Manager shall submit the contract for BOCC approval. Contracts for
BOCC approval must be submitted through, and complete, the routing process prior to agenda review. Contracts for legal review should
be completed through the legal review process prior to being routed for signature.
Department
Party /Vendor Name: Suttles S rve .' Party /Vendor Contact Person: Jaynes Sutties Contact Phone: 828 - 652 -9382 Panty /vendor
Address: 40 S Main St Suit 200 City Marion State: NC Zip: 28752 Department: S. i-ast Amount: < $10,000 Purpose: P ovicie
Annual T'opograhic n of prtion or all of Landfill pty Budget des: 50351020 - 630000 Vendor ## 46119 (NA if new
...l.
v&d-o-rT Vendor is a BOCC consultant? Yes No ontr ct Type: (Check one) Nevi E] Renewal ® Amendment Effective
Date 02/01/2012 Approved by Board Yeso NoZ Agenda Date: Title of Contract: Suttics Surveying
If this is a Grant Agreement, pre- application has been approved by the Board of Commissioners Ye O NoEl. If submitted for hid were
bids R Ps received YesFj NoEj Bid FP number This contract has been reviewed and approved by the Dcpatiment Director as to
technical content:
Department Director's Signature:
CC) C) AP
Date: -�.
IT Direefnr
(Applicable only to har&varelsofAvarepurchases 97 related ' r r' This contract has been reviewed and approved by the Information
Technology Director as to technical content and information technology specifications:
■ r ectn't i
Risk Mann ernent
Include the following coverages. CGS,; Auto; ; Professional; Property; No Insurance R. c�uir d �, Hold
G n *act pending receipt of Certificate of Insurance 'firth incorporation of Insurance provisions as b r , this contract is approved
by the Risk Manager:
Disk Manager's Si nat.nrc: � Date.
0/ - f�
Financial Services
This Conti-act is condition d upon appropriation by the Board of Commissioners Ye No . A budget amendment is necessary
before approval Yes ] NoLU. If budget amendment is necessary, please attach to this form. This instrument has been pre-audited in the
manner required by the Local Government Budget and Fiscal Control Act:
Financial Services Director's Signature: Date:
es�, I
County Attorney'
Approval by Board Ll (Contracts $90,000.00 or more for goods or services, $250,000.00 or more for construction, or any BOCC
consultant contract). Approval by Manager (All other contracts). This contract has been reviewed and approved by the Attorney as
to legal form and sufficiency:
Attorney's Signature Date:
County Managger
This contract has been reviewed and is approved by the Co my Manager Ye NoF1
This contract has been reviewed and is for si n jure t Chair Yes [:]N
Manager's Signature: Date: �
Clerk to the Board
Approved by BCC on the clay of , 20 Submitted for Chair signature on the � day of � 20
Clerk's Signature: Date:
Revised November 2011.