HomeMy WebLinkAboutR 2014-247 Planning - Hobbs, Upchurch & Associates - Amendment #2 Buckhorn Mebane Phase 2 Extensions - PW7
C,5 a CA ORANGE COUNTY—CONTRACT CONTROL SHEET
Rou ing 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: Hobbs,Upchurch&Associates Party/Vendor Contact Person: Fred Hobbs Contact Phone: 910-692-5616
Party/Vendor Address: 135 W.Connecticut Ave. City Southern Pines State:NC Zip:28387 Department:Planning&Inspections
Amount: $393,000* (see attached) Purpose:Design,Permitting and Bid Management Budget Code(s):61370035-870000-30044
Vendor#60465 (N/A if new vendor) Vendor is a BOCC consultant? Yes❑No® Contract Type:(Check one)New ❑ Renewal
❑ Amendment ® Effective Date 05/08/2014 Approved by Board Yes®No[:] Agenda Date: 05/08/2014 Title of Contract:
Amendment#2A-Buckhorn Mebane Phase 2 Extension
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 Signat Date / T 14
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 tec nology specifications:
IT Director's Signature: y Date:
Risk Management
Include the following coverages: ❑ CGL; ❑ Auto; ❑ WC; ❑ Professional; ❑ Property; OR No Insurance Required El. Hold
Contract pending receipt of Certificate of Insurance E]. With incorporation of Insurance provisions as sho
by the Risk Manager: D
R
reir
isk Manager's Signature: ��� Date: ��-7 6 MAY 2 2 20 14
Financial Services
This Contract is conditioned ypon appropriation by the Board of Commissioners Yes❑No[17f. A bud B
before approval Yes[:]NoLY. 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 a-nd Fiscal Control Act:�
Financial Services Director's Signature: yl i�.W A4/, Date: 9I 2 I 1t4
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 r viewe approved by the Attorney as to legal form and sufficiency:
Attorney's Signature f Date:"
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