HomeMy WebLinkAboutR 2013-432 AMS - Ferrell Firm PC Engagement of Legal Services - Amendment $3,500 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: Ferrell Firm,P.C. Party/Vendor Contact Person: Brian Ferrell Contact Phone: 919-883-4960 Party/Vendor
Address: PO Box 16564 City Chapel Hill State:NC Zip: 27516 Department: AMS Amount: 3500 Purpose: Engagement of Legal
Services-Amendment Budget Code(s): 53530030-870000 Vendor#59251 (N/A if new vendor) Vendor is a BOCC consultant? Yes
❑No❑ Contract Type: (Check one)New❑ Renewal ® Amendment ❑ Effective Date 04/29/2013 Approved by Board Yes❑
No❑ Agenda Date: Title of Contract: Engagement for Legal Services-Amendment
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: Date: p
IT Director
(Applicable only to hardware/software purchases or related services)This c tract has been reviewed and approved by the Information
Technology Director as to technical content and information technol y s cifications:
IT Director's Signature: Date:
Risk Mana ement j:--I t7
Include the following coverages: ❑ CGL; ❑ Auto; ❑ WC; N Professional; ❑ Property; OR No Insurance Required ❑. Hold
Contract pending receipt of Certificate of Insurance ❑. With hiincorporation,9f I r�s�prance provisions as sho n, this contract is approved
by the Risk Manager: "`'" ..gyp i�}- TLJ�..r' *6�_S1
Risk Manager's Signature: ` Date:
Financial Services
This Contract is conditioned pon appropriation by the Board of Commissioners Yes❑No[� A budget amendment is necessary
before approval Yes[:] NoM. If 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 Control Acct::,_`
Financial Services Director's Signature: � �t (-� !r"� Date: f o b(0 3
t0Im
County Attorney
Approval by Board ❑ (Contracts $90,000.00 or more for goods or services, $250,000.00 or more for construction, or any BOCC
consultant contract). Approval by Managw-r:T—(Most other contracts$1,000 and above). Department Director approval only ❑ (Under
$1,000). This contract has been vie we pproved by the Attorney as to legal form and sufficiency:
Attorney's Signature Date:
C/ County Manager
This contract has been reviewed a d is app ved by the County Manager Yes No❑.
This contract hays been Areviewnd fo s i natu t air es❑No❑.
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