HomeMy WebLinkAboutR 2014-208 DEAPR - HMW Preservation for Historic Landmark Designation Report for White Cross School 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: HMW Preservation Party/Vendor Contact Person: Heather W. Slane Contact Phone: 336-207-1502 Party/Vendor
Address:P.O.Box 355 City Durham State:NC Zip:27702 Department:DEAPR Amount:$2,000 Purpose:Historic Landmark
Designation Report for the White Cross School 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 5/1/2014
Approved by Board Yes❑No® Agenda Date: Title of Contract: Landmark Report for White Cross School
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: kdco Department Director's Signature: Date: � � 1Q-
`� IT Director
(Applicable myo har a /softw e Vcd ateervic ) is contra as been r ie\d and roved by t Information
Techno Directo to tec coon to ology s cif ations.
I Directors gnature: _ 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 sho
by the Risk Manager: D
Risk Manager's Signature: Date MAY — 1 2014
Financial Services
This Contract is conditioned on appropriation by the Board of Commissioners Yes❑No Abu B
before approval Yes❑No(yIf 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:
Financial Services Director's Signature: w /J� Date: 5(sl ty
515
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 been reviewed pproved by the Attorney as to legal form and sufficiency:
Attorney's Signature ^v' Date:
County Manazer
This contract has been reviewed and is ap v by the County Manager Yes No❑.
This contract has been reviewed s f i e th C es No❑.
Manager's Signature: Date:'OW
Clerk to the Board
Approved by BOCC on the_day of 20 Submitted for Chair signature on the_day of 120
Clerk's Signature: Date:
Revised March 2012