HomeMy WebLinkAboutR 2014-209 DEAPR - Preservation Chapel Hill - Historic Landmark Designation Report for John Hackney House 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: Preservation Chapel Hill Party/Vendor Contact Person: Cheri Szcodronski,Executive Director Contact Phone:
(919)942-7818 Party/Vendor Address: 610 East Rosemary St. City Chapel Hill State:NC Zip:27514 Department:DEAPR Amount:
$975.00 Purpose:Historic Landmark Designation Report for the John Hackney House Budget Code(s): 10610020 630000 Vendor#
N/A (N/A if new vendor) Vendor is a BOCC consultant? Yes❑No® Contract Type: (Check one)New® Renewal❑
Amendment ❑ Effective Date May 1,2014 Approved by Board Yes❑No® Agenda Date: Title of Contract:Landmark
Report for John Hackney House
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❑Non Bid/RFP number This contract has been reviewed and approved by the Department Director as to
technical content:
Department Director's Signature: Date: 2I 4—
IT Director
(Appli $le`only to ar software p c ses'forZnati ted se is This ontr"a t,has bee a wed t he Info ation
Tech oloy Dire or as to chnical co ent an chnology ecification�
/Direct'o s Sigma e: Date:
Risk Management
Include the following coverages: ❑ CGL; ❑ Auto; ❑ WC; ❑ Professional; ❑ Property; OR No Insurance Required /❑�Hold
Contract pending receipt of Certificate of Insurance El. With incorporation of Insurance provisions as sl town,this contract is ap oved
by the Risk Manager: D � 0 � D U
Risk Manager's Signature: Date: MAY _ 1 2014
Financial Services
This Contract is conditionedaypon appropriation by the Board of Commissioners Yes❑Nod A ftd amendment is necess
before approval Yes[:]NoM. If budget amendment is necessary,please attach to this form. This instrument has been pre-auditect in me
manner required by the Local Government Budget and Fiscal Control Act:
A 4 Financial Services Director's Signature: `�-�4r t, All Date: 5 U61
513
County Attorney
Approval by Board ❑ (Contracts $90,000.00 or more for goods or services, $250,000.00 or more for constructior 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 and approved by the Attorney as to legal form and sufficiency:
Attorney's Signature - Date:
s
IV
County Manager
This contract has been reviewed and is approved by the County Manager Yes❑No❑.
This contract has been reviewed and is for signature by the Chair 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