HomeMy WebLinkAbout2012-366 S Solid Waste - Terracon Consultants, Inc for Walnut Grove Church Rd Convenience Center Construsction Materials Testing $13,146 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: Terracon Consultants,Inc.. Party/Vendor Contact Person: Aaron Ezzell Contact Phone:919-873-2211
Party/Vendor Address:5240 Green's DaiLy Road City Raleigh State:NC Zip:27616 Department: Solid Waste Amount:not to exceed
j 13,146.00 Purpose: Walnut Grove Church Road Solid Waste Convenience Center Construction Materials Testing Budget Code(s):
5035 3030 880000 Vendor#60991 (N/A if new vendor) Vendor is a BOCC consultant? Yes❑NoZ Contract Type:(Check one)
New 0 Renewal El Amendment ❑ Effective Date 9/19/12 Approved by Board YesF]NoM Agenda Date: Title of
Contract:Walnut Grove CMT
If this is a Grant Agreement,pre-application has been approved by the Board of Commissioners Yes❑No❑. If submitted for bid were
bids/RFPs received Yes❑NoZ Bid/RFP number This contract has been reviewed and approved by the Department Director as to
technical content:
Department Director's Signature: Date:
IT Director
(Applicable only to hardware/software pnurchalseorrelated services)This contract has been reviewed and approved by the Information
Technology Director as to technical content and information technolo specifications:
IT Director's Signature: Date:
Risk Mapagement
Include the following coverages: L—y/CGL; 1�Auto; M WC; M Professional; ❑ Property; OR No Insurance Required El. Hold
Contract pending receipt of Certificate of Insurance M. With incorporation of Insurance provisions as shown,this contract is approved
by the Risk Manager:
Risk Manager's Signature: A A41– Date: qfiqlew
Financial Services
This Contract is conditioned ypon appropriation by the Board of Commissioners Yes❑NoW A budget amendment is necessary
before approval Yes❑Nol V1. 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 Control Act:
Financial Services Director's Signature: rfik,� /A / -' Date:
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[N (Most other contracts$1,000 and above). Department Director approval only F-1 (Under
$1,000). This contract has be reviewed and approved by the Attorney as to legal form and sufficiency:
Attorney's Signature :4:�Iah Date: q11,q11t
dCounty Manager
This contract has been reviewed and is approved by the County Manager Ypen-NoFT
This contract has been reviewed and is for si YesFjNo[?.'�
Manager's Signature: Date:
Clerk to the Board
Approved by BOCC on the day of 20 7 Su d 4r Chair signature on the (day of 20
_ A,
Clerk's Signature: Date:
V
Revised March 2012