HomeMy WebLinkAboutR 2013-456 Planning - McGill Associates for Water, Sewer, Design Services, Surveying/Environmental and Water/Sewer Construction $142,000 \3 '�\ 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: McGill Associates Party/Vendor Contact Person: Doug Chapman,PE Contact Phone: 828-217-3609
Party/Vendor Address: 1240 19`"Street,Lane NW City Hickory State:NC Zip:28603 Department: Planning&Inspections Amount:
$142,000,Purpose: Water.Sewer,Desien Services.Surveying/Environmental and Water/Sewer Construction Oversight Budget
ode(s): Art 46 1/4 ct sales t)Nendor#60857 (N/A if new vendor) Vendor is a BOCC consultant? Yes❑No❑
(bids/RFPs ontract Type:(Check one)New❑ Renewal❑ Amendment ❑ Effective Date 10/15/13 Approved by Board Yes®Non
genda Date: 10/15/13 Title of Contract:Wilson Industrial Park
this is a Grant Agreement,pre-application has been approved by the Board of Commissioners Yes❑No❑. If submitted forbid were
received Yes❑No❑ Bid/RFP number This contract has been reviewed and approved by the Department Director as to
chnical content:
1,)370355—emoaz-
1
Department Director's Signat e' Date:
IT Director
(Applicable 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 tec of specifications:
IT Director's Signature: Date:
Risk anaige ment
Include the following coverages: ❑ CGL; ❑ Auto; ❑ W -, ❑ Professional; ❑ Property; OR No Insurance Required ❑. Hold
Contract pending receipt of Certificate of Insurance ❑. With incorppration of Insurance provisions as shown,this contract is approved
by the Risk Manager: („Q v-4..,,6.
Risk Manager's Signature: 4, -
Date:
Financial Services
This Contract is conditione on appropriation by the Board of Commissioners Yes❑No� A budget amendment is necessary
before approval Yes❑No . If 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: z:tw— / 'r-V. Date: p io' o
�o1aa
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 been reviewed and approved by the Attorney as to legal form and sufficiency:
Attorney's Signature Date: 1 S l
Count Mana er
This contract has been reviewed and is ap ov by the County Manager Yes o❑.
This contract has been reviewed s f i e the it Yes❑No❑.
c
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