HomeMy WebLinkAboutR 2014-207 DEAPR - Parratt-Wolff Inc. - installation of groundwater observation wells ORANGE COUNTY—CONTRACT CONTROL SHEET Clerk
Routing Order: (1)Department,(2)IT,(3)Risk Management,(4)Financial Services,(5)Attorney,(6)Manager,(7)
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: Parratt-Wolff,Inc. Party/Vendor Contact Person: GM Ellingworth Contact Phone: 919-644-2814 Party/Vendor
Address: 501 Millstone Drive City Hillsborough State:NC Zip:27278 Department:DEAPR Amount: 15,000.00 Purpose:Installation
of Groundwater Observation Wells Budget Code(s): 10610030-803000 Vendor#N/A (N/A 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: Title of Contract:Installation of Groundwater Observation Wells
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: 2 8J14-
IT Dir or
(Applicable only to ware/software purchases or related se ' es)This contract has bee eviewed and appro y the In f tion
Technology D' for as to technical co nt and informat' technology specifications:
IT D" ctor'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 sho
by the Risk Manager:
Risk Manager's Signature: !/ Date: 9&1zr APR 2 9 2014
Financial Services
This Contract is conditioned thou appropriation by the Board of Commissioners Yes❑No[VV. A bud B
before approval Yes❑No[Z 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 Act: q
Financial Services Director's Signature: O&A,4—U." Date: ✓ s
51b
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 r iewed and approved by the Attorney as to legal form and sufficiency:
Attorney's Signature Date:
County Manager
This contract has been reviewed and is approv by e County Manager Yes o❑.
This contract has been reviewed and ' r si y t C ai es❑ o❑.
Manager's Signature: Date: f
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