HomeMy WebLinkAbout2012-135 S Housing - Agr-Waste Technology Engineering Services $5,300 CD1Z- e5
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.
Department
PartyNendor Name: Agri-Waste Technology,Inc. PartyNendor Contact Person: Kevin D.Davidson Contact Phone: 919-859-0669 x
2306 PartyNendor Address: 5400 Etta Burke Court, Suite 200 City Raleigh State:NC Zip:27606 Department:Housing,Human
Rights and Community Development Amount:$5,300 Purpose:Engineering Services Budget Code(s): 32470920-782003 Vendor#
N/A (N/A if new vendor) Vendor is a BOCC consultant? Yes❑No❑ Contract Type: (Check one)New® Renewal ❑
Amendment ❑ Effective Date 05/21/2012 Approved by Board Yes❑No Agenda Date: Title of Contract:
If this is a Grant Agreement,pre-application has been approved by the Board of Commissioners Yes❑NoEl. If submitted for bid were
bids/RFPs received Yes❑Nor] Bid/RFP number This contract has been reviewed and approved by the Department Director as to
technical content: /Department Director's Signatu /� - /, Date: :=°"" (/;.2--i
IT V- ctor
(Applicable only to hardware/software purchases or related servi s This contract has been reviewed and approved by the Information
Technology Director as to technical content and information to• olo pecifications:
IT Director's Signature: Date:
Risk . s,ement
Include the following coverages: ❑ CGL; ❑ Auto; ❑ WC; • ' ofessional; ❑ Property; OR No Insurance Required O. Hold
Contract pending receipt of Certificate of Insurance D. With i orp■ ation of Insurance provisions as shown,this contract is approved
by the Risk Manager:
Risk Manager's Signature: Date:
Financial Services.
This Contract is condition pon appropriation by the Board of Commissioners Yes0No1( A budget amendment is necessary
before approval Yes❑No If budget amendment is necessary,please attach to this form. This instrument has been pre-audited in the
manner required by the Local Government Budg tt and Fiscal Control Act: i
Financial Services Director's Signature: `�'�✓ • Date: (91 S Z
County Attorney
Approval by Board ❑ (Contracts $90,000.00 or more for goods or services, $250,000.00 or more for construction, or any BOCC
consultant contract). Appro y by Manager (Most other contracts$1,000 and above). Department Director approval only ❑ (Under
$1,000). This contract has beet revie d approved by the Attorney as to legal form and sufficie cy:
Attorney's Signature Date:
(o l3 2
County Manager,
This contract has been reviewed and is approved by the County Manager Yes o❑.
This contract has been reviewed and is for signature by the Chair Yes❑N sC.
Manager's Signature: Date:
Clerk the Board
Approved by BOCC on the day of ,20 . Sub 'tte 4r Chair signature on the day of ,20
�,/�� Ll
Clerk's Signature: r Date:
Revised March 2012