HomeMy WebLinkAboutR 2013-110 Planning - Coleman, Gledhill, Hargrave & Merritt PC - Michael Buck appeal $20,000 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: Coleman Gledhill Hargrave&Merritt P.C. Party/Vendor Contact Person: Geoffrey E.Gledhill Contact Phone:
919-732-1203 Address: 129 E.Tryon St. City Hillsborough State:NC Zip:27278 Department:Planning&Inspections
AE nt: 000 se:Mich°d1 Buck Appeal Budget Code(s): 10620020-630000 Vendor#50218 (N/A if new vendor) Vendor is
a co nt� es❑No[] Contract Type:(Check one)New® Renewal❑ Amendment ❑ Effective Date 3/1/2013
d Yes❑No❑ Agenda Date: Title of Contract:
is 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 This contract has been reviewed and approved by the Department Director as to
technical content:
Department Director's Signatur uC "� �'%� 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: ❑ CGL; ❑ Auto; ❑ WC; ❑ Professional; ❑ Property; OR No Insurance Required E . Hold
Contract pending receipt of Certificate of Insurance M. With incorporation of Insurance provisions as shown,this contract is approved
by the Risk Manager: /* /'
er C
Risk Mana 's Si nature: �t".-G�s...w �' Date: 7 S
g
Financial Services
This Contract is conditioned upon appropriation by the Board of Commissioners Yes❑No . 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 Bud elt and-Fiscal Control Act:
Financial Services Director's Signature: 4-h-° AN- Date: qllj La
County Attorney
Approval by Board ❑ (Contracts $90,00 .0 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 b e rev ed and approved by the Attorney as to legal form and sufficiency:
Attorney's Signature Date: ¢3
County Manager
This contract has been reviewed and is approved by ounty Manager No❑.
This contract has been reviewed and is r a e hair Yes❑N�
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