HomeMy WebLinkAboutR 2014-118 SW - Towns of Carrboro, Chapel & Hillsborough Urban Roll Cart Acquisition - Interlocal Agreement 401.)+- 11g
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: Towns of Carrboro Chapel Hill and Hillsborough Party/Vendor Contact Person: Miscellaneous Contact Phone:
Party/Vendor Address: City State: Zip: Department: Solid Waste Mana eg ment Amount:Varies
Purpose:Urban Roll Cart Ac uiq sition Budget Code(s): Vendor# (NIA if new vendor) Vendor is a BOCC consultant?
Yes❑No® Contract Type:(Check one)New® Renewal❑ Amendment ❑ Effective Date Approved by Board Yes®
No❑ Agenda Date:November 19.2013 Title of Contract: Interlocal Agreement between Orange County and the Towns Regarding
the Acquisition of Recyclable Materials Roll Carts
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: J
Department Director's Signature: W Date: 1-13 —
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 technology specifications:
IT Director's Signature: �J/ot. 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: Q„
Risk Manager's Signature: —•�—
Date: / i
Financial Services
This Contract is condi ned upon appropriation by the Board of Commissioners YesE�No❑. A budget amendment is necessary
before approval YesM 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 Budget and Fiscal Contr 1 Act:
g
Financial Services Director's Signature: qxe� y /)� Date:
11131I1�
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 ManagerMost other contracts$1,000 and above). Department Director approval only❑ (Under
$1,000). This contract has b en eviewe d approved by the Attorney as to legal form and sufficiency:
Attorney's Signature Date:
County Manager
This contract has been reviewed and is app ed the County Ma ager Yes o❑.
This contract has been reviewed a fo g t e by e 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