HomeMy WebLinkAboutR 2014-129 Library - Freelon Group Architects Southern Branch Library Facilitation (g o\�k \20RANGE 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
J30CC 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: Freelon Group Architects Party/Vendor Contact Person: Derek Jones Contact Phone:919-941-9790 Party/Vendor
Address:5310 S.Alston Avenue City Durham State:NC Zip:27713 Department:Library Amount:not to exceed$29,500 base
services,not to exceed$1,500 for reimbursables Purpose: Southern Branch Library Facilitation Budget Code(s):61370035-870000-
10050 Vendor#N/A (N/A if new vendor) Vendor is a BOCC consultant? Yes❑No® Contract Type:(Check one)New
Renewal❑ Amendment ❑ Effective Date 1/23/14 Approved by Board Yes®No❑ Agenda Date: 1/23/14 Title of Contract:
Southern Library Facilitation
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 n r 5198This contract has been reviewed and approved by the Department Director as to
technical content:
Department Di ctor's Si ure :,/ /1 ✓
I ire or
(Applicable only to hardware/so are purchases or rel ted s This contract has been reviewed and approved by the Information
Technology Director as to technical content and inform io echnology specifications:
IT Director's Signature: Date:
� 'sk Mana ement
Include the following coverages: ❑ CGL; ❑ Auto; ❑ C; ❑ Professional; ❑ Property; OR No Insurance Required ❑. Hold
Contract pending receipt of Certificate of Insurance ❑. With incorporation of Insurance provisions as sho � c�tr�t �ppr
by the Risk Manager: u
Risk Manager's Signature: ��.t . Date: JAN TO 2013
71 F
Financial Services By
This Contract is conditioned on appropriation by the Board of Commissioners Yes❑NoQ� A budge a
before approval Yes❑NoNIf 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: w A,.— Date:
County Attorney
Approval by Board ❑ (Contracts $90,000.00 0 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 an ro d by the Attorney as to legal form and sufficiency:
Attorney's Signature Date"?—
County Manager
This contract has been re=,.by the County ager Yes[✓]No❑.This contract has been reur t hair 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