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
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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
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