HomeMy WebLinkAbout2012-121 S DEAPR - David Welch Analysis for Comprehensive Parks and Recreation Master Plan $2,200 p/J'111
ORANGE COUNTY—CONTRACT CONTROL SHEET '`; k
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Routing Order: (1)Department,(2)IT,(3)Risk Management,(4)Financial Services,(5)Attorney,(6)Manager,(7)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: David Welch, Party/Vendor Contact Person: David Welch Contact Phone: 919-929-8391 PartyNendor Address:
20 East Drive City Chapel Hill State:NC Zip: 27516 Department: DEAPR Amount: $2,200 Purpose: Data collection(demographic,
socioecono 1' •,• .• ••r. is• and anal sis for Oran.e C• .i i •u.rehensive Parks and Recr-. is 1 u. - ' . Budget Co eTs):
10610020 630000 Vendor#03o (N/A if new vendor) Vendor is a BOCC consultant? Yes No Contract Type: (Check one)
New® Renewal❑ Amendment ❑ Effective Date May ,2012 Approved by Board Yes❑No■ Agenda Date: Title
of Contract: Demographic, Socioeconomic,and Transportation Data Collection and Analysis for Orange County Comprehensive Parks
and Recreation Master Plan
If this is a Grant Agreement,pre-application has been approved by the Board of Commissioners Yes❑No❑. If submitted for bid were
bids/RFPs received Yes No❑ Bid/RFP number This contract has been reviewed and approved by the Department Director as to
technical content:
Department Director's Signature:
iL°c1 �! Date: 5114)12_
IT Director
(Applicable only to hardware/software purchases or related services)This contract has been reviewed and approved by the Information
Technolo y Director as to chnical content and information technology specifications:
IT Director's 'gnature: \ te:
Risk Management
Include the following coverages: ❑ CGL; ❑ Auto; ❑ WC; ❑ Professional; ❑ Property; ❑ OR No Insurance Required [L]-'Hold
Contract pending receipt of Certificate of Insurance ❑. With incorporation of Insurance provisions as shown, this contract is approved
by the Risk Manager:
Risk Manager's Signature: Date: 5.Z/' IL--
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Financial Services
This Contract is conditioned upon appropriation by the Board of Commissioners Yes❑No�. A budget amendment is necessary
before approval Yes❑No If budget amendment is necessary, please attach to this form. his instrument has been pre-audited in the
manner required by the Local Government Budget and Fiscal //Control Act:
Financial Services Director's Signature: et a44-4,..,.. A MA— Date: 5(24f t
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County Attorney
Approval by Board ❑ (Contracts over $90,000.00 for goods or services, $250,000.00 for construction, or any BOCC consultant
contract). Approval by Manager,2-all other contracts). This contract has been reviewed and approved by the Attorney as to legal
form and sufficiency:
Attorney's Signature Date:
County Manager
This contract has been reviewed and is approved by the County Manager Y1No0.
This contract has been reviewed and is to be bmitted for BOCC consideration Yes❑No'
Manager's Signature: I
I l / Date: 7-2 "/v
le, ti the :oard
Approved by BOCC on the day of ,20., Sr ub ed for Chair signature on the day of ,20 .
Clerk's Signature: (/// Date: I
Revised April 2010