HomeMy WebLinkAboutR 2013-469 DEAPR - Landmark Surveying Inc for Boundary Survey and plat for Bliss-Dobyns Conservation Easement $3,930 X13-1t�D�
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: Landmark Surveying, Inc. Party/Vendor Contact Person: Douglas Yarborough. Contact Phone: (336) 229-6275.
Party/Vendor Address: 109 East Harden Street. City Graham. State: NC Zip: 27253 Department: DEAPR Amount: $3,930 Purpose:
Boundary survey and plat for Bliss-Dobyns conservation easement (35 acres). Budget Code(s): 61370035 870000 20006 Vendor #
44120 (N/A if new vendor) Vendor is a BOCC consultant? Yes ❑ No® Contract Type: (Check one) New ® Renewal ❑
Amendment ❑ Effective Date November 1,2013.
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: 6125 JR
IT Director
(Applic le only to hardware/software pu ases or related services)This co act has been reviewed an pproved by the formation
Technolo Director as to technical content a information technology specifics
IT Director's Sig ture:
Risk 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: .0 Date:
Financial Services
This Contract is conditioned u on appropriation by the Board of Commissioners Yes❑NoQ� A budget amendment is necessary
before approval Yes❑ Noy.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 Act:
Financial Services Director's Signature: j /a, Date:
«(ilia
County Attorney
Approval by Board ❑ (Contracts over $25,000.00 or any BOCC consultant contract). Approval by Manager All contracts
$25,000.00 or less with the exception of BOCC consultants). This contract has been reviewed and approved by the Attorney as to legal
form and sufficiency: >
Attorney's Signature / ! - Date:
County Manager
This contract has been reviewed and is appro ed by the Coun Man er Yes vo�❑.
This contract has been reviewed d i to b ubm' e fo C c sideration Yes❑No❑.
v
Manager's Signature: Date: / f
Clerk to the Board
Approved by Board Yes❑No❑ Agenda Date:
Clerk's Signature: Date: