HomeMy WebLinkAboutR 2014-173 Planning - J. F. Wilkerson Contracting Co. - Buckhorn Mebane Utilities Phase 2 Change Order #4 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: J.F. Wilkerson Contracting Company Party/Vendor Contact Person: Joseph Wilkerson Contact Phone:919-467-
1829 Party/Vendor Address: 10710 Chapel Hill Rd. City Morrisville State:NC Zip:27560 Department:Plannin Amount:
$421,500.00 Purpose:Buckhom Mebane Utilities Phase 2 Change Order 94 Budget Code(s): 61370035-880000-30040 Vendor#55607
(N/A if new vendor) Vendor is a BOCC consultant? Yes❑No® Contract Type:(Check one)New❑ Renewal❑ Amendment
® Effective Date February 27,2014 Approved by Board Yes®No❑ Agenda Date: 12/02/2013 Title of Contract: Orange
County Buckhorn-Mebane EDD Phase 2 Water and Sewer Improvements
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 367-286This contract has been reviewed and approved by the Department Director as
to technical content: `l
Department Director's Signatu Date:
IT Director
(Applicable only to hardware/software purchases or related se ices)This contract has been reviewed and approved by the Information
Technology Director as to technical content and informati chnology 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 shom n.this contract is approv ed
by the Risk Manager: D
Date:
C1
Risk Manager's Signature: �= (y `°-� 0,aPR - 3 2014
-x}13
Financial Services
This Contract is conditioned on appropriation by the Board of Commissioners Yes❑No[+�. A bud ndment is necessary
before approval Yes❑No , . If budget amendment is necessary,please attach to this form. This instrument has Deen pre-au i e
manner required by the Local Government Budget and Fiscal Control
/ Act:
Financial Services Director's Signature: R Date: 41311
4l3
County Attorney
Approval by Board ❑ (Contracts $90,000.00 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 approved by the Attorney as to legal form and sufficiency:
Attorney's Signature Date:
County Manager
This contract has been reviewed and is appr ve 5Lb y the County Manager Yes No❑.
This contract has been reviewed an i or at e b he C air 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