HomeMy WebLinkAboutR 2013-154 DEAPR - NW Poole Well Co for Irrigation well and hook-ups A$18,964 ORANGE 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. lf the Manager
determines the contract is not appropriate for Manager approval the Manager shall submit the contract for B8CCapproval. Contracts for
BOCC approval must be submitted through,and complete,the routing process prior to agenda review. Contracts for legal review should
6c completed through the legal review process prior tobeing routed for signature.
Department
Pu/tyyYcudorNumc: Party/Vendor Contact Person: Kevin Letchworth Contact Phone:(919)266-9223
Purty/Vendoc&ddreom:P.O.Box 1958 City Wendell State:N{� Zip:27591 Departmcut:IDE\Jgl Amount: $11L2 Purpose:
Irrigation well and hook-ups Budget Code(s): 10515030 Vendor# vendor) Vendor iaoB0CCconsultant? Yen
[I NoZ Contract Type: (Check one)New Z Renewal &meudozuut R Effective Date June l� Z8l3 Approved byBoard YeaR
Y4uZ Agenda Date:n/a Title ofContract: Construction Services under$25,000
If this iuu Grant Agreement,pre-application has been approved by the Board uf Commissioners l,emZNoR. If submitted for bid were
bido/0FPu received YexR NoE] Bid/DFy number l668Thiy contract has been reviewed and approved hy the Department Director aauo
technical content:
Department Director's Signature: Date:
IT Director
(Applicable only m6o/6vurelsoftwurc purchases o,related services)This contract has been reviewed and approved hy the Information
Technology Director umto technical
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X~ireotor`oSiguutmmc:
Date: 5
Risk Manaj!ement
Include the following coverages: 9 CGL; c �uto; � WC; [l Professional; [YPrupe�y;
OR F]. Hold
Connucpeodiug�ce�tofCe�i�c�eofbnuurunoel. 9hbbucurpor�iunuf Insurance prov��oeom shown, @h�nontmct� approved
hy�e Risk Muo��
Risk Manager's Signature:
Date:
Financial Servi
This Contract i0000JJ� d opprop���iouhy the Board of/Comnivaiouem ycoO4ov & budget amendment ionecessary
before approval YcoR
No[g. {f budget amendment|onecessary,y|eooe attach tothis Onoo. This instrument has been pre-audited in the
manner required hythe Local Government Budget and Fiscal Cn ct:
Financial Services Director's Signature: Duau
4T4--
County Attorney
Approval by Board R (Contracts $9000000 more for goods or sucviuca. $250,000.00 or more for construction, or any 80CC
consultant contract). Approval by&Xonuge oatoUhcrcoutoctm$l.000undabovc). Department Director approval only (Under
$1,000). This contract has been revi d approved by the legal fo d sufficiency:
Attorney's Signature Date:
This contract has been reviewed and is approved by the C Manager Ye�o�dn.
This contract has been reviewed and is for signature y ir YesRNoD��
Manager's Signature: —9a Date: -z--z-
1_�lerk to the Board
Approved hyBOCCnu the day of 20___, Submitted for Chair signature nu the day of
Clerk's Signature: Date:
Revised March 2012