HomeMy WebLinkAboutR 2013-436 Planning - Terracon Consultants Inc Buckhorn Mebane Utilities Pase 2 Construction Materials Testing $27680 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: Terracon Consultants,Inc. Party/Vendor Contact Person: Aaron Ezzell Contact Phone:919-873-2211
Party/Vendor Address: 5240 Green's Dairy Road City Raleigb State:NC Zip:27616 Department:Planning Amount:not to exceed
$27,680 Purpose:Buckhorn Mebane Utilities Phase 2 Construction Materials Testing Budget Code(s):61370035-880000-30040 Vendor
#60991 (N/A if new vendor) Vendor is a BOCC consultant? Yes❑No® Contract Type:(Check one)New® Renewal❑
Amendment ❑ Effective Date October 1,2013 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:
Department Director's Signatu Date:/� {s
IT Director
(Applwable 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 ❑. Hold
Contract pending receipt of Certificate of Insurance E]. With incorporation of Insurance provisions as shown,this contract is approved
by the Risk Manager: /� n
Risk Manager's Signature: (w��� IUD Date: / Z
In L5
Financial Services
This Contract is conditioned on appropriation by the Board of Commissioners Yes❑No r budget amendment is necessary
before approval Yes❑NoIf budget amendment is necessary,please attach to this form. This instrument has been pre-audited in the
manner required by the Local Government Bud jnd�Fiscal Control ct:
Financial Services Director's Signature:
Gv`�-[ice Date:
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 Manager Ej'(Most other contracts$1,000 and above). Department Director approval only❑ (Under
$1,000). This contract has been,revio;wed and rov d ,the Attorney as to legal form and sufficiency:
Date:
Attorney's Signature � � -�"
County Manager
This contract has been reviewed and is appr ed by the County Manager Yes�io❑.
This contract has been reviewe fo si a e b e C Yes❑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