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HomeMy WebLinkAbout2022-476-E-BOCC-Orange County-Internal contract requisition form-Provide Roadside Graphic Services to Orange County via Durham County Sign ShopDOCUSIGN INTERNAL CONTRACT REQUISITION FORM CONTRACTOR/VENDOR NAME: Orange County VENDOR #1000006546 CONTRACTOR NAME & E-MAIL (INDIVIDUAL E-SIGNING ON BEHALF OF THE CONTRACTOR): Print Name: Bonnie Hammersley, Laura Jensen E-Mail Address: bhammersley@orangecountync.gov , ljensen@orangecountync.gov TYPE OF CONTRACT: New __ Renewal X Amendment X Services X Goods __ Consulting __ Construction __ Lease __ Other ___________ SCOPE OF WORK: Provide Roadside Graphic Services to Orange County via Durham County Sign Shop CONTRACT AMT: Revenue CONTRACT TERM: July 1, 2022 – June 30, 2023 RFP/IFB/RFQ#: FUNDING SOURCE: General X State ___ Federal ___ UNIFORM GUIDANCE (UG) PROCEDURES APPLICABLE? YES ___ NO X ITEM LINE# FUND COST CENTER G/L ACCOUNT WBS ELEMENT (Grants/Projects Only) GRANT NUMBER MATERIAL GROUP# TOTAL I/D ADDITIONAL INFO 1 1001010000 4190490000 5200160100 0026 Revenue Sign Shop 2 3 RISK MANAGER Contract Requires Risk Management Review/Approval? YES__ NO X COUNTY ATTORNEY Signature: ______________________________________________________ Date: ____________ Contract Requires BOCC Approval? YES NO X Date of BOCC Approval: Reviewing Attorney: _____________________________________________ Date: _______________________ REQUISITIONER PURCHASING MANAGER DocuSign E-Signature: __________________________________Date: 7/21/2022 ______________________________________________Date:________________ Print Name/E-Mail: Tom Kutch tkutch@dconc.gov Docusign E-Signature DEPARTMENT HEAD OR DESIGNEE CHIEF FINANCIAL OFFICER DocuSign E-Signature: ___________________________________Date: _____________ ______________________________________________Date:________________ Print Name/Title: Motiryo Keambiroiro, Director of General Services Docusign E-Signature E-Mail Address: mkeambiroiro@dconc.gov COUNTY MANAGER ______________________________________________Date:________________ Docusign E-Signature CLERK TO THE BOARD ______________________________________________Date:________________ Docusign E-Signature FUNDS RESERVATION# ____________________________________ IS&T DEPT Purchasing Comments: ______________________________________________Date:________________ Docusign E-Signature FY2022 Additional Comments/Instructions by Department: 23-394 COMP see attached N/A 8/8/16 Initial Approval N/A THE LEGAL APPROVAL DOCUMENT IS ATTACHED TO THE FR IN SAP DocuSign Envelope ID: 95AE5C9E-D7FE-4D88-8E7F-70E9DC13D623 9/13/2022 9/13/2022 9/20/2022 9/20/2022 1. E-Verify- Contractor agrees to comply with the requirementsN.C.G.S. §65-25 et. seq. and further agrees to require itssubcontractors to comply as applicable. COUNTY OF DURHAM Purchasing Division of the Finance Department 201 East Main Street 7th Floor, Durham NC 27701 919-560-0051(Telephone); 919-560-0057(Fax) Funds Reservation 2300000394 General Data Company code DCNC Document date 09/13/2022 Posting date 09/13/2022 More Data Text INTERLOCAL AGREEMENT AMENDMENT 07/01/22-06/30/23 Overall Amount 0.00 USD To Approve 0.00 USD Document item 001 Text PROVIDE ROADSIDE GRAPHIC SVCS TO ORANGE COUNTY Fund 1001010000 Cost Center 4190490000 Vendor 1000006546 Ordering Address Grant NOT_RELEVANT Funds center 4190490000 G/L account 5200160100 Vendor Name ORANGE COUNTY GOVERNMENT Ordering Address WBS Element Amount 0.00 USD Open amount 0.00 USD To approve 0.00 USD Printed on 09/13/2022/11:45:02 This instrument has been pre-audited in the manner requiredby the Local Government Budget and Fiscal Control Act. Side 1 of 1 DocuSign Envelope ID: 95AE5C9E-D7FE-4D88-8E7F-70E9DC13D623                DocuSign Envelope ID: 95AE5C9E-D7FE-4D88-8E7F-70E9DC13D623 Page 1 of 1 NORTH CAROLINA DURHAM COUNTY INTERLOCAL COOPERATION AGREEMENT AMENDMENT THIS INTERLOCAL COOPERATION AGREEMENT AMENDMENT is made and entered into this 1st day of July, 2022 by and between the COUNTY OF DURHAM, a political subdivision of the State of North Carolina (hereinafter referred to as “County”) and ORANGE COUNTY a political subdivision of the State of North Carolina. WITNESSETH: THAT WHEREAS, County and Orange County entered into a contract dated April 21, 2017, for the purpose of allowing Durham County, through its General Services Department to provide road sign graphic services as necessary to maintain road side designation for Orange County until such time as Orange County constructs their sign shop pursuant to the terms of the original Agreement; and WHEREAS, County and Orange County desire to amend the Original Interlocal Cooperation Agreement, while keeping in effect all terms and conditions of the Original Interlocal Cooperation Agreement not inconsistent with the terms and conditions set forth below. NOW THEREFORE, for and in consideration of the mutual covenants and agreements made herein, the parties agree to amend the Original Interlocal Cooperation Agreement as follows: 1.The Term of the Original Interlocal Cooperation Agreement is hereby amended to include all of Fiscal Year 2022-2023. 2.By execution hereof, the person signing for Orange County below certifies that he/she has read this Interlocal Cooperation Agreement Amendment and that he/she is duly authorized to execute this contract on behalf of the Orange County. 3.Except for the changes made herein, the Original Interlocal Cooperation Agreement shall remain in full force and effect to the extent not inconsistent with this Amendment. In the event that there is a conflict between the Original Interlocal Cooperation Agreement and this Amendment, this Amendment shall control. IN WITNESS WHEREOF, the parties have expressed their agreement to these terms by causing this Interlocal Cooperation Agreement Amendment to be executed by their duly authorized officer or agent. This Interlocal Cooperation Agreement Amendment shall be effective as of the date herein first above written. DURHAM COUNTY ORANGE COUNTY BY: ________________________________ BONNIE B. HAMMERSLEY COUNTY MANAGER ATTEST: _________________________________ _ LAURA JENSEN BY: ____________________________________ DR.KIMBERLY J SOWELL COUNTY MANAGER ATTEST: ______________________________________ MONICA WALLACE COUNTY CLERK TO THE BOARD FY2021 CLERK TO THE BOARD DocuSign Envelope ID: 95AE5C9E-D7FE-4D88-8E7F-70E9DC13D623 Attached for Reference Interlocal Cooperation Agreement Amendment Orange County (FY22) Dated: 07/01/21 DocuSign Envelope ID: 95AE5C9E-D7FE-4D88-8E7F-70E9DC13D623 Page 1 of 1 NORTH CAROLINA DURHAM COUNTY INTERLOCAL COOPERATION AGREEMENT AMENDMENT THIS INTERLOCAL COOPERATION AGREEMENT AMENDMENT is made and entered into this 1st day of July, 2021 by and between the COUNTY OF DURHAM, a political subdivision of the State of North Carolina (hereinafter referred to as “County”) and ORANGE COUNTY a political subdivision of the State of North Carolina. WITNESSETH: THAT WHEREAS, County and Orange County entered into a contract dated April 21, 2017, for the purpose of allowing Durham County, through its General Services Department to provide road sign graphic services as necessary to maintain road side designation for Orange County until such time as Orange County constructs their sign shop pursuant to the terms of the original Agreement; and WHEREAS, County and Orange County desire to amend the Original Interlocal Cooperation Agreement, while keeping in effect all terms and conditions of the Original Interlocal Cooperation Agreement not inconsistent with the terms and conditions set forth below. NOW THEREFORE, for and in consideration of the mutual covenants and agreements made herein, the parties agree to amend the Original Interlocal Cooperation Agreement as follows: 1.The Term of the Original Interlocal Cooperation Agreement is hereby amended to include all of Fiscal Year 2021-2022. 2.By execution hereof, the person signing for Orange County below certifies that he/she has read this Interlocal Cooperation Agreement Amendment and that he/she is duly authorized to execute this contract on behalf of the Orange County. 3.Except for the changes made herein, the Original Interlocal Cooperation Agreement shall remain in full force and effect to the extent not inconsistent with this Amendment. In the event that there is a conflict between the Original Interlocal Cooperation Agreement and this Amendment, this Amendment shall control. IN WITNESS WHEREOF, the parties have expressed their agreement to these terms by causing this Interlocal Cooperation Agreement Amendment to be executed by their duly authorized officer or agent. This Interlocal Cooperation Agreement Amendment shall be effective as of the date herein first above written. DURHAM COUNTY ORANGE COUNTY BY: ________________________________ BONNIE B. HAMMERSLEY COUNTY MANAGER ATTEST: _________________________________ _ LAURA JENSEN BY: ____________________________________ &/$8',$2+$*(5 INTERIM COUNTY MANAGER ATTEST: ______________________________________ MONICA TOOMER COUNTY CLERK TO THE BOARD FY2021 CLERK TO THE BOARD       DocuSign Envelope ID: 95AE5C9E-D7FE-4D88-8E7F-70E9DC13D623                DocuSign Envelope ID: 95AE5C9E-D7FE-4D88-8E7F-70E9DC13D623                DocuSign Envelope ID: 95AE5C9E-D7FE-4D88-8E7F-70E9DC13D623                DocuSign Envelope ID: 95AE5C9E-D7FE-4D88-8E7F-70E9DC13D623                DocuSign Envelope ID: 95AE5C9E-D7FE-4D88-8E7F-70E9DC13D623                DocuSign Envelope ID: 95AE5C9E-D7FE-4D88-8E7F-70E9DC13D623                DocuSign Envelope ID: 95AE5C9E-D7FE-4D88-8E7F-70E9DC13D623