HomeMy WebLinkAbout2012-351 S AMS - JF Wilkerson for Contract material unit price adjustment for Buckhorn section unforeseen conditions contingency $92,670.50 o 1-7 ORANGE COUNTY—CONTRACT CONTROL SHEET
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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 contrast for BOCC approval. Contracts for
BOCC approval must be submitted through,and complete,the routing process prior to agenda revicv. Contracts for legal review should
be completed through the legal review process prior to being routed for signature.
Department
Party/Vendor Name: J.F. Wilkerson Contracting Company Party/Vendor Contact Person: Joseph Vilkerson Contact Phone:919_�_
1829 Party/Vendor Address: 10710 Chapel Hill Road City Morrisville State:NQ Zip:27560 Department:AMS Amolm 670.5
Purpose:Change Order 0-Contract material unit price adjustments for Buckhorn section,unforeseen conditions contin et
Code(s):61370035-880000-30042 Vendor#55607 (N/A if new vendor) Vendor is a BOCC consultant? Yes❑NoE Contract
Type:(Check one)New❑ Renewal❑ Amendment Z Effective Date 8/21/2012 Approved by Board YesZ No❑ Agenda
Date: 8/23/2011 Title of Contract: Sanitary Sewer Improvements for Buckborn Area North of 1-85&Central Efland
If this is a Grant Agreement,pre-application has been approved b the oard of Commissi ers Yeso No❑. If submitted for bid were
bids/RFPs received Yes❑No❑ Bid/RFP number c has re e d appraved Vy the 96partment Director as to
technical content: zpz 7//
Department Director's Si /ture: Date:—F�?3/I 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 technology specifications:
IT Director's Signature: Date:
Risk Management
Include the following coverages: ❑ CGL; ❑ Auto; ❑ WC; ❑ Professional; ❑ Property; OR No Insurance Required d 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: Date:
Financial Services
This Contract is conditioned pon appropriation by the Board of Commissioners YesE]No[&� A budget amendment is necessary
before approval Yes❑No-eplf budget amendment is necessary,please attach to this form. This instrument has been pre-audited in the
manner required by the Local Government Budgi and Fiscal Co O tr I A t: f
f1241Financial Services Director's Signature: - Date: i Z_
County Attorney
Approval by Board �ntracts $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 eeryreviewed and approved by the Attorney as to legal form and sufficiency:
Atto 9 e Date: <
_pey s Signature---e'7 co
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County Manager ro VA Ile
This contract has been reviewed and is approved by the County Manager YesF;TNoEl.
4__ —
This contract has been reviewed and is for s' a -ebyt e h es NoLk'
Manager's Signature: Date:
7M TCk to the Board— —C,
Approved by BOCC on the_day of 20 Submitted for Chair signature on the day of _20—.
Clerk's Signature: Date:--
Revised March 2012