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*1 .,., \ <br />ORALNGE COUNTY—CONTRACT CONTROL SHEEN' <br />Routing Order: l Department, IT, Risk Management, 4 Financial Services, Attorney, Manager, 7 Clerk <br />This Document shalt accompany all contracts and. shall be submitted for signature in the Routing Order specified above. lfthe Manager <br />determines the contract is not appropriate for Manager approval the Manager shall submit the contract for B CC approval. Contracts for <br />BO CC 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 behig routed for signature. <br />_ � e artt <br />-- MoNr- <br />Party vendor Name: Mad em Construction Co n.pan r Party/Vendor Contact Person: Ian Dalton Contact Phone; 91 9- 428 -5826 <br />rty endor Address: p 0 Box 1205 City C rr ro State: ITC Zip: 27510 D ep -tment : AMS Amount: $7,950, 00 Purpose:.Child <br />Support Enforcement Upfit, West Campus Office n idling Budget Codes ; 10240330 -- 00 vendor 60587 (N/A if new vendor) <br />endor is a BCC consultant? Yes o Contract Type: (Check one) New Renewal El Anmendmeut' Effective Date <br />1/9/2012 Approved by Board Yes[] N Z Agenda Date: Title of Contract: CSE pf"�t Construction <br />Ifthis is Grant-Agree gent, pre-application .has been approved by the Board of Co issione�rs Yes No 0. If submitted for bid were <br />bids /,G`I's received e No Bid �F number This contract has been reviewed and approved by the Department Director s to <br />technical content: <br />Department Director's Signature- Date: 2 <br />IT Director <br />(Applicable only to hardwarelsoftivare purchases or related i i s) This contract has been reviewed and approved b the Informatlo <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: 9--CGL; �A-ato,* [3-WC; El Professional; 0 Property; OR No Insurance RequiredEl. Hold <br />Contract pending receipt of Certificate of Insurance . With incorporation of Insurance provisions as shown, this contract is approved <br />by the Risk 1 lahh ger: <br />Risk Manager's Si rrxat r : Date: <br />1AA k <br />Financial Services <br />This Contract is conditioned pen appropriation by the hoard of Commissioners esITo budget amendment is ncss <br />before approval YesE] No If budget amendment i necessary, please - 'attach to this forte.. This instrument has been pre - audited <br />manner required by the Local ovenunent Budget and Fiscal Control ct: <br />Financial Services Director's mature; Dates <br />County A,ttorrn <br />Approval by Board Ej Contracts 90, 0 00. 0 or more far goods or services, $25 0,000.0 0 or more for construction, or any B CC <br />consultant contract). Approval by Manager (All other contracts). This contract has been reviewed and approved by the Attorn <br />t legal farm and sufficiency: <br />.attorney's Signature <br />J�44jl., Date: I/ / <br />S <br />CounLy Manage; <br />This cor tra t has been reviewed and is approved by the County Yanager e oE1. <br />� <br />This contract has been reviewed and is for ignaty to C a' s No , <br />Manager's Signature: <br />Approved by BOCC on the <br />Clerk's Signature; <br />Revised d Nov b r 2011 <br />Date: I <br />' 27 #W I -10� <br />eer1 . <br />o the Board <br />day o = - -- —Submitted for Chair signature on the <br />Date: <br />day of 0 <br />t <br />