HomeMy WebLinkAboutR 2013-485 AMS - ECS Carolinas LLP County Jail Site EAS Phase 1 Geotech Study Utility Capacity Study $7,600 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: ECS Carolinas,LLP Party/Vendor Contact Person: Nathan Nallainathan,P.E. Contact Phone:919-861-9910
Party/Vendor Address:9001 Glenwood Ave City Ralei State:NC Zip:27617 Department:AMS Amount:Not to exceed$7,600
Purpose:County Jail Site ESA Phase 1 Geotech Study,Utility, Capacity Study Budget Code(s):61370035-870000-10051 Vendor#
56914 (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 ESA
Study
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 5171, 5169. 5173This contract has been reviewed and approved by the Department
Director as to technical content:
Department Director's Signature: �c�.�--- Date: f( •t -9
IT Di or
(Applicable only to hardware/software purchases or related services) is contract has been reviewed and approved by the Information
Technology Director as to technical content and information tec o 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: /}
Risk Manager's Signature: ( / Date: 12A h
II�Z�
Financial Services
This Contract is conditioned on appropriation by the Board of Commissioners Yes❑No . A budget amendment is necessary
before approval Yes❑No[VIf 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: C&44-,L— A- A'll'�l Date:
County Attorney
Approval by Board ❑ (Contracts $90,000.00 r more for goods or services, $250,000.00 or more for construction, or any BOCC
consultant contract). Approval by Manager Xost other contracts$1,000 and above). Department Director approval only❑(Under
$1,000). This contract has been reviewed pproved by the Attorney as to legal form and sufficiency:
Attorney's Signature Date:
County Manager
This contract has been reviewed and is ap ved by the gounty,Manager YesL No❑.
This contract has been review f r ign e b e C i 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