HomeMy WebLinkAboutR 2013-056 Planning - Terracon for Geotechnical Subsurface investigation $5,600 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 Party/Vendor Contact Person: R.L.Levi Denton Contact Phone:9,0-873-2 11 Party/Vendor Address:
5240 Green's Dairy Road City Raleigh State:NC Zip:27616 Department:Planning Amoun 5 600 ose: Geotechnical
Subsurface investigation Budget Code(s):61370035-880000-30040 Vendor#60991 (N/A if ndor) Vendor is a BOCC
consultant? Yes❑No® Contract Type:(Check one)New® Renewal❑ Amendment ❑ Effective Date 12/21/2112 Approved by
Board Yes❑No® Agenda Date: Title of Contract:Buckhorn Mebane Phase 2-Geotech
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❑Non Bid/RFP number This contract has been reviewed and approved by the Department Director as to
technical content:
Department Directors Signature�,. Date:
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 to of y specifications:
IT Director's Signature: Date:
Risk Mai a ement
Include the following coverages: [v�CGL; [Auto; 9 WC; 9 Professional; ❑ Property; OR No Insurance Required El. Hold
Contract pending receipt of Certificate of Insurance ❑. With incorporation of Insurance provisions as shown,this contract is approved
by the Risk Manager: �{ A Risk Manager's Signature: 'l J� Date: 2-)
Financial Services
This Contract is conditioned on appropriation by the Board of Commissioners Yes❑Noff", 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 Control Act:
Financial Services Director's Signature: azk, • /J"X— Date: 2- 1t- 1-?
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 Managerz(Most other contracts$1,000 and above). Department Director approval only❑ (Under
$1,000). This contract has been reviewed approved by the Attorney as to legal form and sufficiency:
Attorney's Signature ilk _ Dater
County Manager
This contract has been reviewed and is approved by the County Manager Ye�❑.
This contract has been reviewed and is for si ature bar the Chair Yes❑N
Manager's Signature: Date:
__y1_
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