HomeMy WebLinkAboutR 2013-474 AMS - Freeland Survey for County Jail Site Leasehold Survey $4,800 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: Freehold Land Surveys Party/Vendor Contact Person: Charlie Billings Contact Phone:919-929-8090
Party/Vendor Address: 113 West Main Street,Unit#A City Carrboro State:NC Zip:27510 Department:AMS Amount:Not to exceed
$4,800 Purpose:County Jail Site leasehold survey Budget Code(s):61370035-870000-10051 Vendor#32666 (N/A if new vendor)
Vendor is a BOCC consultant? Yes❑No® Contract Type: (Check one)New® Renewal❑ Amendment ❑ Effective Date
11/1/13 Approved by Board Yes❑No® Agenda Date: Title of Contract:Jail Site leasehold survey
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®Non Bid/RFP number 5174This contract has been reviewed and approved by the Department Director as to
technical content:
Department Director's Signature: Date: L �( !3
IT D' ector
(Applicable only to hardware/software purchases or related seru') )This contract has been reviewed and approved by the Information
Technology Director as to technical content and information teqi4f4gy 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 ❑. With incorporation of Insurance provisions as shown,this contract is approved
by the Risk Manager: Gt-4 • A'
Risk Manager's Signature: Q V- Date: //4-
Financial Sery ices
This Contract is conditioned on appropriation by the Board of Commissioners Yes❑No A 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 et and Fiscal Control Act:
_
Financial Services Director's Signature: ff ✓'"'Y '_/
Date: 4-111,3
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['(Most other contracts$1,000 and above). Department Director approval only❑(Under
$1,000). This contract has be n rev' wed .and,, ved by the Attorney as to legal form and sufficiency:
Attorney's Signature
!'� Date:
County Manager
This contract has been reviewed and is a pro d by the County Manager YesEj No r-
.
This contract has been reviewed
is r s' atur b the 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