HomeMy WebLinkAbout2012-133 S Planning Hobbs, Upchurch & Associates $30,500 Ao/?-/33
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: Hobbs,Upchurch&Associates Party/Vendor Contact Person: Bill Lester Contact Phone: 910-692-5616
PartyNendor Address:300 SW Broad Street City Southern Pines State:NC Zip:28388 Department:Planning&Inspections Amount:
$30,500 plus reimbursables Purpose: Engineering Design and Easement Coordination Budget Code(s): Project#30040 Vendor#
(N/A if new vendor) Vendor is a BOCC consultant? Yes • 10 lk. ontract Type:(Check one)New❑ Renewal❑ Amendment X
' Effective Date 06/19/2012 Approved by Board Yes►. ,o r? ge I da Date: 6/19/2012 Title of Contract:Buckhorn-Mebane
EDD Water and Sewer Extension Project-Phase II .
If this is a Grant Agreement,pre-application has been app . -• • • :oard of Commissioners Yes❑No❑. If submitted for bid were
bids/RFPs received Yes No❑ Bid/RFP number 5164This contract has been reviewed and approved by the Department Director as to
technical content:
c
Department Director's Signature. / //",,L u _ ,r Date: (2
IT Director
(Applicable only to hardware/software purchases or related services)This contract 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: [aCGL; ['Auto; 11}/WC; gl4rofessional; ❑ Property; OR No Insurance Required ❑. Hold
Contract pending receipt of Certificate of Insurance D. With incorporation of Insurance provisions as shown, this contract is approved
by the Risk Manager:
Risk Manager's Signature: CPI ,}'y.i.4 � Date: 6 - `{• I z.--
ill c'd obloi/i,4
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. Thi instrument has been pre-audited in the
manner required by the Local Government Budget and Fiscal Contr 1 Act:
Financial Services Director's Signature: t/l w-..-''--� l / '- Date: ft(4,7_, ; c t 25/i 2.
County Attorney
Approval by Board vg (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❑(Most other contracts$1,000 and above). Department Director approval only ❑ (Under
$1,000). This contract has beep eviewed and approved by the Attorney as to legal form and sufficiency:
Attorney's Signature • , r Date: 06/2 5//t,
O 111
County Manager
This contract has been reviewed and is approved by the County Manager Y No❑.
This contract has been reviewed and is for *a,4 e b le 6h... Y o
Manager's Signature: l Date:
6/L<
t
tF rk t the and
Approved by BOCC on the day of ,20 Wd fo hair signature on the day of ,20 .
Clerk's Signature: A i Date: / ) 11
r F
Revised March 2012