HomeMy WebLinkAboutR 2014-149 AMS - Main Street Partners of Chapel Hill LLC Due Diligence Authorization Agreement for Butler Property -, V)ji - 14 Qt
C�S a o14 -CY34 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: Main Street Partners of Chapel Hill,LLC Party/Vendor Contact Person: Kevin Benedict Contact Phone: 919-810-
4410 Party/Vendor Address: PO Box 2152 City Chapel Hill State:NC Zip: 27515 Department: AMS Amount:N/A Purpose: Due
Diligence Authoriation Agreement for Butler Property Carrboro NC(Southern Library due diligence) Budget Code(s):N/A Vendor#
N/A (N/A if new vendor) Vendor is a BOCC consultant? Yes❑No® Contract Type: (Check one)New ❑ Renewal ❑
Amendment ❑ Effective Date 2/18/2014 Approved by Board Yes®No❑ Agenda Date: 2/18/2014, item 6-e Title of Contract:
Due Diligence Authorization Agreement
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:
Department Director's Signature: Date: T'2-1
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 techn toy 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 show', c t
by the Risk Manager: D
Risk Manager's Signature: r��� Date: rZ & FEB 2 4 2013
Financial Services y
This Contract is conditioned pon appropriation by the Board of Commissioners Yes❑No ' . A bud B
before approval Yes❑No[M. 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 Control A't:
Financial Services Director's Signature: a&,,,' A�,_ Date: Z �SII
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 revi ed a d by the Attorney as to legal form and sufficiency:
Attorney's Signature Date:
County Manager
This contract has been reviewed and is appr ed the County M ager Y s o❑.
This contract has been reviewed an or i n u by th h r es❑
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