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ORANGE COUNTY - CONTRACT CONTROL SHEET <br />Routing Order: (1) Department, (2) IT, (3) Risk Management, (4) Financial Services, (5) Attorney, (6) Manager, (7) Clerk <br />This Document shall accompany all contracts and shall be submitted for signature in the Routing Order specified above. If the Manager <br />determines the contract is not appropriate for Manager approval the Manager shall submit the contract for BOCC approval. Contracts for <br />BOCC approval must be submitted through, and complete, the routing process prior to agenda review. Contracts for legal review should <br />be completed through the legal review process prior to being routed for signature. <br />Department <br />Party/Vendor Name: Brown Brothers Plumb' g Party/Vendor Contact Person: Jeff Addison Contact Phone: 919 - 220 -2554 <br />Party/Vendor Address: Roxboro Rd City Durham State: NC Zip: 27704 Department: Asset Management Services Amount: <br />$6_,,585 Purpose: Sup 1 &installation of Backflow prevention valve, pressure reducing valve and enclosure, per attached uotation. <br />Budget Code(s): 570000 Vendor # 35730 (N /A if new vendor vendor is a BOCC consu taut. es No Contract Type: (Check <br />one) New ® Renewal ❑ Amendment F1 Effective Date Approved by Board Yes❑ No® Agenda Date: Title of <br />Contract: <br />If this is a Grant Agreement, pre - application has been approved by the Board of Commissioners Yes❑ No❑. If submitted for bid <br />were <br />bids/RFPs received Yes❑ No❑ Bid/RFP number This contract has been reviewed and approved by the Department Director as to <br />technical content: , <br />Department Director's Signature: PM �' Date: _J� <br />IT Director <br />(Applicable only to hardware /software purchases or related services) This contract has been reviewed and approved by the Information <br />Technology Director as to technical content and information technology specifications: <br />IT Director's Signature: <br />Date: <br />Risk Management <br />Include the following coverages: [�CGL; [Auto; C' ❑ Professional; E9 -Property; OR No Insurance Required ❑. Hold <br />Contract pending receipt of Certificate of Insurance ❑. With incorporation of Insurance provisions as shown, this contract is approved <br />by the Risk Manager: <br />Risk Manager's Signature: 4y F Date: <br />e c `d 2 3I z Lt -3o 11 PAt 71v CVM-r <br />Financial Services <br />This Contract is condition d upon appropriation by the Board of Commissioners Yes ❑No�. A budget amendment is necessary <br />before approval Yes❑ NoX. If budget amendment is necessary, please attach to this form. his instrument has been pre- audited in the <br />manner required by the Local Government Budget and Fiscal Control Act: e <br />Financial Services Director's Signature: C64vGa t.✓ A Date: 4 a% 2 <br />County Attorney <br />Approval by Board ❑ (Contracts $90,000.00 or more for goods or services, $250,000.00 or more for construction, or any BOCC <br />consultant contract). Approval by Manager 0 (All other contracts). This contract has been reviewed and approved by the Attorney as <br />to legal form and sufficiency. <br />Attorney's Signature Date: 61111 <br />.Z <br />County Manager <br />This contract has been reviewed and is approved by the County Manager Yesp�T`No❑. <br />This contract has been reviewed and is for signature by the Chair Yes❑No2—. <br />Manager's Signature: Date: <br />Clerk to the Board <br />Approved by BOCC on the _ day of 20 . Submitted for Chair signature on the _day of 20 <br />Clerk's Signature: <br />Revised November 2011 <br />Date: <br />