2012-135 Housing - Agri Waste Technology Inc for Engineering Services $5,300

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aD tZ - es 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: Agri -Waste Technology Inc Party/Vendor Contact Person: Kevin D. Davidson Contact Phone: 919 - 859 -0669 x 2306 Party/Vendor Address: 5400 Etta Burke Court, Suite 200 City Raleigh State: NC Zip: 27606 Department: Housing, Human Rights and Communijy Development Amount: $5,300 Purpose: Engineering Services Budget Code(s): 32470920 - 782003 Vendor # N/A (N /A if new vendor) Vendor is a BOCC consultant? Yes ❑ No❑ Contract Type: (Check one) New ® Renewal ❑ Amendment ❑ Effective Date 05/21/2012 Approved by Board Yes❑ No® Agenda Date: Title of Contract: 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 Signatu e: Date: 1�:O°�//Z (Applicable only to hardware/software purchases or related Technology Director as to technical content and information IT Director's Signature: contract has been reviewed and approved by the Information Date: Risk M em�tt Include the following coverages: ❑ CGL; ❑Auto; ❑ WC; ofessional; ❑ Property; OR No Insurance Required ❑. Hold Contract pending receipt of Certificate of Insurance M1. With ' orp ation of Insurance provisions as shown, this contract is approved by the Risk Manager: Risk Manager's Signature: Date: Financial Services This Contract is condition d pon appropriation by the Board of Commissioners Yes ❑Noll A budget amendment is necessary before approval Yes❑ No� If budget amendment is necessary, please attach to this form. This instrument has been pre- audited in the manner required by the Local Government Bu(dg f tt and Fiscal Control Act: f Financial Services Director's Signature: C� As ,4/� Date: � sl 12- 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). ppro 1 by Manager VQ (Most other contracts $1,000 and above). Department Director approval only ❑ (Under $1,000). This contract has a rev d approved by the Attorney as to legal form and sufficie cy: Attorney's Signature Date: 16 ('L County Manager This contract has been reviewed and is approved by the County Manager Yes o❑. This contract has been reviewed and is for signature by the Chair Yes ❑N Manager's Signature: Date: Clerk 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