HomeMy WebLinkAbout2012-130 EDC - Emil Malizia for Consultant Work $3,000 .mmm
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ORANGE CO 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 contract and shall be submitted for signature in the Routing Order specified above. If the Manager
determmes the contract is not appropriate for Manager approval the Manager shall submit the contrac 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
Pmrty/V*odorNmoe: Emil Malizia PurtyNeodorCootuct Person: Emil Malizia Contact Phone: 919-962-4759 party/Veudo/.,�ddr000:
103 DouuuoutbCom� City Chapel Hill State:NC Zip:27516 Department: EoouonuiuDevelopment Amount: $3-000 purpoa�:
Consultant Budget Code(s): Quarter Cent Sales Tax Vendor#N/A if new vendor) Vendor is a BOCC consultant? Yes 0 No
�' Contract Type: (Check one)New Z Renewal E Amendment Fl Effective Date May 16,2012 Approved by Board Yco0Nn
11 Agenda Date: Title of Contract:
If this is a Grant Agreement, application has been approved by the Board of Commissioners Yes Nob. If submitted for bid were
bido8lFpo received YcuFllwn0 Bid/RFP number This contract has been reviewed and approved by the Department Director as to
technical content:
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11 �� a�
8»cpaxtoumnt|0ireot*r'oSignature: '^_, N�a� �4. �m `� Date: �~ -2-V—V2
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(Applicable only to hardware/software purchases or related services)This contrac 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: Fl CGL; 0 Auto; 0 WC; 0 Professional; 0 Property; OR No Insurance Required gy Hold
Coutruutpendiogruccipto[Certificmmnflouurauoe0. With incorporation of Insurance provisions as shown, this contract is approved
by the Risk Manager:
Risk Manager's 8igmmtumr:~ //^ Nyie' Date: ��• 7L4"' /2~
gi e �� 3 62-vi' A 5�� ��
' Financial Services
This Contract is condition-• Poo appropriation by the Board of Commissioner Yea[]Nnk. A budget amendment is necessary
before approval YesEJ NoK1. If budget amendment is necessary, please attach to this form. This instrument has been pre-audited in the
manner required by the Local Government Bud and Fiscal
Financial Services]0inoctwr`xSignature: C'(' w-L._ J7- Date: 51 /2'
County Attorney
Approval by Board �l (Contracts $9000000 more for goods or services, $250^000.00 or more for construction, or any BOCC
consultant contract). Approval � other contracts$1,000 and above . Department Director approval only (Under
$1.080). This contract has been reviewed and approved by the Attorney as to legal form and sufficiency:
A�oroey`mSigoutmr. ' ~- --- - Dzoc oy l/' �__
County Manager
This contract has been reviewed and is approve, by the County Manager ymst] muLJ.
This contract has been reviewed and is a ^, by th r }'uuFlYJoa-
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Manager's Signature: ���� ' N� ' ��� Date:
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Clerk to ��.�xd
ApyrnvxdbyB0CCond`oduynf ,2 . 1r'� for Chair signature the day of ,20 .
, Date: ~—
Clerk's Signature: i - �\
Revised March 2012