HomeMy WebLinkAboutR 2013-403 AMS - Civil Consultants for consulting Engineer Services for Animal Services $1,400 ,�br3--40E�
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: Civil Consultants Party/Vendor Contact Person: Tony Whitaker Contact Phone:919-490-1645 Party/Vendor
Address: 3708 Lyckan Parkway, Suite 201 City Durham State:NC Zip:27707 Department:Asset Management Services Amount:
$1,400.00 Purpose: Consulting Engineer Services for Animal Service- 1601 Eubanks Road Chapel Hill Budget Code(s): 10240320-
630000 Vendor#62089 (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:
Consulting Enizineering Services for Animal Services
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: �-
Department Director's Signature: 0"a, C- L`r"" Date: l t 13
IT 'r or
(Applicable only to hardware/software purchases or related service his contract has been reviewed and approved by the Information
Technology Director as to technical content and information tec olog specifications:
IT Director's Signature: Date:
isk Mana ement
Include the following coverages: LKCGL; IKAuto;0 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:
X113
Financial Services
This Contract is conditioned Won appropriation by the Board of Commissioners Yes❑No A budget amendment is necessary
before approval Yes❑ No[Y. 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 Contro Act:
Financial Services Director's Signature: Loa-1-c - 4— Date:
County Attorney
Approval by Board ❑ (Contracts $90,000.00 r 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 rpvie pproved by the Attorney as to legal form and sufficiency:
Attorney's Signature !�' - Date:
fQpty Manager
This contract has been reviewed and is approved by thager Yes No❑.
T his contract has been reviewed and is fo i a s❑No
Manager's Signature: Date: y ��
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