HomeMy WebLinkAboutR 2013-086 AMS Perkins+ Will Architects Design and Engineering Services Historic Rogers Rd Community Center Lot 1 & 2 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 Fontract 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: Perkins+Will Architects Party/Vendor Contact Person: Joseph Wagner Contact Phone:919-433-53 ..
Party/Vendor Address:PO Box 14747 City Research Triangle Park State:NC Zip:27709 Department:AMS Amount: 0-Pro Bo
see contract section 1.1.5 Purpose:Deseign and Engineering Services for Historic Rogers Road Communi Center.L 1 and
Street, Chapel Hill,NC 27516 Budget Code(s):#10054 Vendor#N/A (N/A if new vendor) Vendor is a BOCC co V Yes❑
Non Contract Type: (Check one)New® Renewal❑ Amendment ❑ Effective Date 3/15/2013 Approved by Board Yes❑No
® Agenda Date:N/A Title of Contract:Rogers Road Community Center
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❑No® Bid/RFP number N/AThis contract has been reviewed and approved by the Department Director as to
technical content:
3 tg l3
Department Director's 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 technology specifications:
IT Director's Signature: Date:
/Risk Management
Include the following coverages: 5(CGL; Auto; M 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: U• �!''"" Date: �2�
Financial Services
This Contract is conditioned on appropriation by the Board of Commissioners Yes❑No[g�l A budget amendment is necessary
before approval Yes❑NoIf budget amendment is necessary,please attach to this form. This instrument has been pre-audited in the
manner required by the Local Government Bu/d►/get and Fiscal Control Act:
Financial Services Director's Signature: Date:
County Attorney
Approval by Board ❑ (Contracts $90,000.00 pr 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 bee rev' we roved 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 Yesu<LNo❑.
This contract has been reviewed and is Lure he Chair YesgNo❑. j
Manager's Signature: Date: 7,Z"
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 2.012
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