HomeMy WebLinkAbout2012-128 S EDC - Capp's Apizza LLC User Services $N/A ORANGE COUNTY-CONTRACT CONTROL SHEET
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.
care' Ar z2-q Department
PartyNendor Name: Cappp's Apizzo LLC PartyNendor Contact Person: John Cappelletti Contact Phone:919-669-8582 PartyNendor
Address:274 Gladstone Trail City Pittsboro State:NC Zip:27312 Department:Economic Development Amount:N/A Purpose:User
services Budget Code(s):N/A Vendor# (N/A if new vendor) Vendor is a BOCC consultant? Yes El No Contract Type:
(Check one)New® Renewal El Amendment ❑ Effective Date 05/15/12 Approved by Board Yes❑No Agenda Date:
Title of Contract:Piedmont Food&Agricultural Processing Center User Services Contract
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: • 10■l Shim. , , . , Date: s—Zy 1 Z
IT Director
(Applicable only to hardware/software purchases or related services)This con .ct has been reviewed and approved by the Information
Technology Director as to technical content and information technology specifications:
IT Director's Signature: Date:
Risk Management
Include the following coverages: CGL; ❑ Auto; ❑ WC; El Professional; ❑ Property; OR No Insurance Required El. Hold
Contract pending receipt of Certificate of Insurance E. With incorporation of Insurance provisions as shown,this contract is approved
by the Risk Manager:
Risk Manager's Signature: cjytL' Date: OS'' /Z
Rer cI ocia,4110/ 3 ay. '
Financial Services
This Contract is condition d 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. Th s instrument has been pre-audited in the
manner required by the Local Government Budget and Fiscal Control Act:
Financial Services Director's Signature: .,w • 'W., Date: 2-4t I(2-
County Attorney
Approval by Board El (Contracts $90,000.00 or more for goods or services, $250,000.00 or more for construction, or any BOCC
consultant contract). Approval by Managerj2"(Most other contracts$1,000 and above). Department Director approval only El (Under
$1,000). This contract has been re iewed and approved by the Attorney as to legal form and sufficiency:
Attorney's Si nature Date:
C �/ ' C' u�v Manager
This contract has been reviewed and is approved by the County Manager Yes,121CroE.
This contract has been reviewed and is for si y: e by the Chair Yes❑Nol
Manager's Signature: / / /A Date:
Clerk to the Board
Approved by BOCC on the day of ,20 . i.mitte• for Chair sign t e_day of ,20
Clerk's Signature: Date: ‘72 ( /1
Revised March 2012