HomeMy WebLinkAbout2012-257 S AMPS - Mackem Construction LLC $12,400 22 ,i -_ r;'7
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
Party/Vendor Name: Mackem Construction,LLC Party/Vendor Contact Person: Ian Dalton Contact Phone:919-428-5826
Party/Vendor Address:PO Box 1205 City Carrboro State:NC Zip:27510 Department:AMS Amount:not to exceed$12,400 Purpose:
Eno River Parking Deck Structure and Concrete Repairs Budget Code(s): 10240320-570000 Vendor#60587 (N/A if new vendor)
Vendor is a BOCC consultant? Yes❑No Contract Type: (Check one)New® Renewal❑ Amendment ❑ Effective Date
7/20/12 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 Co •issioners Yes❑No❑. If submitted for bid were
bids/RFPs received Yes❑No❑ Bid/RFP number Th.- co. act has bee eviy/ed and approve by Department Director as to
technical content: �, / 7 /Z___-
Department Director's Signature: 4i.e.„7/ 74,pe.7 L---- Date: ill///Z
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 techn ogy pecifications:
IT Director's Signature: Date:
disk Management
Include the following coverages: CGL; Auto; [1 WC; ❑ Professional; ❑ Property; OR No Insurance Required ❑. 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: 6(14"---6.., i y, Date: 7/210 l u zi
.
' I11
Financial Services
This Contract is conditioned on 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. This instrument has been pre-audited in the
manner required by the Local Government Budget and Fiscal Contro Act:
Financial Services Director's Signature: mil,�'�"„— . . Date: W/ 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). Approval by Manager Jf (Most other contracts$1,000 and above). Department Director approval only❑ (Under
$1,000). This contract has be y reviewed and approved by the Attorney as to legal form and sufficiency:
Attorney's Signature t • i 71,1 Date: 7/4Tha
County Manager
This contract has been reviewed and is approved by the County Manager Yes12To❑.
This contract has been reviewed and is for signature by the Chair Yes❑NoD!
1
Manager's Signature:
i
' I ' Date: 7'"2?-
Y
,/r
Clerk to the Board
Approved by BOCC on the day of ,20 . Submitted for Chair signature on the day of ,20 .
Clerk's Signature: Date:
Revised March 2012