HomeMy WebLinkAboutR 2013-109 AMS - Corley Redfoot Architects $2,000 Desigh modifications for storm water line at Whitted Human Services Center $2,000 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: Corley Redfoot Architects Party/Vendor Contact Person: Michael Hammersley Contact Ph -401-8586
Party/Vendor Address:222Cloister Court City Chapel Hill State:NC Zip:27514 Department:AMS Amount- 2 000. rpose:
Design modifications for storm water line at Whitted Human Services Center Budget Code(s): 1024032057000 or#41427 (N/A
if new vendor) Vendor is a BOCC consultant? Yes❑No[] Contract Type: (Check one)New❑ Renewal❑ Amendment ❑
Effective Date Approved by Board Yes❑No® Agenda Date: Title of Contract:
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 This contract has been reviewed and approved by the Department Director as to
technical content:
l /
Department Director's Signature: °'"'�°— Date: `� ��4/,3
IT Director
(Applicable only to hardware/software purchases or related . This contract has been reviewed and approved by the Information
Technology Director as to technical content and informati n specifications:
IT Director's Signature: Date:
Isk Management
Include the following coverages: ❑ 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:
. -41 Z.ftS
Financial Services
This Contract is conditioned pop appropriation by the Board of Commissioners Yes❑No2/' 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 and Fiscal Control Act:
Financial Services Director's Signature: WA �� Date:
County Attorney
Approval by Board ❑ (Contracts $90,000.00 0r—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 been re iewed and a
3pyroved 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 Yes�TNo❑.
This contract has been reviewed and is for signature by th?Chair Yes❑No0!
Manager's Signature: Date:�• 2 f• I
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