HomeMy WebLinkAboutR 2010-042 DEAPR - Clark Poe Construction 0 C[Z--
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: Clark Poe Construction,Inc. Party/Vendor Contact Person: Clark Poe Contact Phone: (919)625-5104
Party/Vendor Address: 134 Granger Road City Chapel Hill State:NC Zip:27516 Department: Dept of Environment,Agriculture,Parks
and Recreation Amount: $85,386 Purpose: Repairs at future Blackwood Park: Stabilize Banr&Replace Barn, Replace House Roof
Budget Code(s):2WOO Vendor#03F 6,31,(N/A if new vendor) Vendor is a BOCC consultant? Yes ❑No® Contract Type: (Check
one)New N Renewal ❑ Amendment ❑ Effective Date May 24,2010 Approved by Board Yes❑No® Agenda Date:
Title of Contract: Construction Agreement Under$250,000-Barn Stabilization and Roof Replacement at Blackwood Farm
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 1585This contract has been reviewed and approved by the Department Director as to
technical content:
Department Director's Signature: Date: 5712c)(16
IT Director
N'
(Applicable only to hardware/software purchases or related services)This contract Ahas been reviewed and approved by the Information
Technology Director as to technical content and information technology specifications:
IT Director's Signature: Date:
Risk Management
Include the following coverages: ❑ CGL; ❑ Auto; ❑ WC; ❑ Professional; ❑ Property; ❑ OR No Insurance Required R. Hold
Contract pending receipt of Certificate of Insurance Q With incorl1pratt n of Insurance provisions as shown, this contract is approved
by the Risk Manager: lW Win{� to
Risk Manager's Signature: Date: V /"�
Financial Services
This Contract is conditioned upon appropriation by the Board of Commissioners Yes❑Nox. A budget amendment is necessary
before approval Yes❑ NoX. 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:
Financial Services Director's Signature: a a.�. 0, Date: V � �� 0
County Attorney
Approval by Board ❑ (Contracts ov r $90,000.00 for goods or services, $250,000.00 for construction, or any BOCC consultant
contract). Approval by Manager 9 All other contracts). This contract has been reviewed and approved by the Attorney as to legal
form and sufficiency:
Attorney's Signature Date:
County Manager
This contract has been reviewed and is approved by the County Manager Yes No❑.
This contract has been reviewed and is to be submitted for BOCC co sideration Yes❑NoO:
Manager's Signature: Date: D
Clerk to the Board
Approved by BOCC on the day-of '" 20 S ed fo Chair signature on the day of ,20
Clerk's Signature: Date: t,b t?
Revised April 2010
SDI
let, f