HomeMy WebLinkAbout2012-396 S AMS - W L Bishop Construction Inc 129 E King Stormwater Repair $55,359.00 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: W.L.Bishop Construction,Inc. Party/Vendor Contact Person: Willie Bishop Contact Phone:919-732-2546
Party/Vendor Address:2211 Leah Drive City Hillsborough State:NC Zip:28012 Department:AMS Amount: $55,358.00 Purpose:
129 E.King Stormwater Repair Budget Code(s):61-370035-880000 Vendor#59867 (N/A if new vendor) Vendor is a BOCC
consultant? Yes❑No® Contract Type: (Check one)New® Renewal❑ Amendment ❑ Effective Date 11/12/12 Approved by
Board Yes❑No® Agenda Date: Title of Contract: 129 King Stormwater Repair
If this is a Grant Agreement,pre-application has been approved by the Board of Commissione Yes❑No❑. If submitted for bid were
bids/RFPs received Yes®No❑ Bid/RFP number 1662This ntra a e r view an proved by the Department Director as to
technical content:: -
Department Dirlt(r s Signature: Date: /6 r 2_
JIF
IT Director
(Applicable only to hardware/software purchases or related services) i contract has been reviewed and approved by the Information
Technology Director as to technical content and information technolo pecifications:
IT Director's Signature: Date:
Risk Mana ement
Include the following coverages: [�'J CGL; [� Auto; 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: Date: y Z
Financial Services
This Contract is conditioned on appropriation by the Board of Commissioners Yes❑No[v� A budget amendment is necessary
❑
before approval Yes No[g.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 t r.d Fiscal Control A t:
Financial Services Director's Signature: _ '�1%1 -). IJ4-- Date: t L
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�D (Most other contracts$1,000 and above). Department Director approval only❑ (Under
$1,000). This contract has been viewed and approved by the Attorney as to legal form and sufficiency:
Attorney's Signature Date:
County Manager
This contract has been reviewed and is approved by the County Manager YeO No❑.
This contract has been reviewed and is or signatur he Chair Yes❑No['
Manager's Signature: Date:
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