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# 4 k <br />ORANGE COUNTS CON TRACT CONTROL SHE � <br />Routing Order: 1 Department, 2 IT, 3 Risk Management, Financial Services, 5 Attorney, l a ag r, 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 it 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: Wage n -Ham cchanieal 2nstraet s, hw. Part Ne dor Contact Person: Larry warren Contact Phone: 919 -732- <br />43 62 Party end r Address: 214 Millstone Drive City Hillsborough State: NC Zip: 27278 Department: AM S Amount: 3 <br />Purpose: Cage rd r #i : suitable structural fill for Link geothermal well field due to unsuitable soils Budget Co des : 613 7003 5 880000-30035 Vendor ff 25352 (NW&IT—fie ca r 1i s a C7C tant"? des ❑ N o M C o n tra c t T p : (Cheep one) N <br />El Renewal ❑ Amendment 0 Effective Date 9/19/2011 Approved by Board YesM N ❑ Agenda Date: 91812011 Title of <br />Contract: Govermnent Services Center HVAC Installation -- #30035 Link <br />If this is a Grant Agreement, -pre - application has been approved by the Board of Commissioners Yes❑ No❑. If submitted for bid were <br />bi s FPs received YesM N ❑ Bid P number 5 168This contract has been previewed and approved by the Department Director as to <br />technical content: <br />Department Director's Signature: Date: k <br />IT Director <br />(4pplicable only to hardwarelsqj?ware purchases or related t i s) 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 />Rash Ma n agem ent <br />Include the following coverages: [E` GL; Auto; E'VC; ❑ Professional; [RTroperry; OR o' 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: tc: 0� ` :5 . t <br />&0 I� C 2 . <br />Financial Services <br />This Contract is conditioned upon appropriation by the Board of Commissioners Yes ❑loo A budget arnendr ent is necessary <br />before approval Yes❑ lo, if budget amendment is necessary, please attach to this foray. This instrument has been pre - audited in the <br />manner required by the Local Government Budget and Fiscal Control Act: <br />Financial Services Director's Signature: )j* Date: 2 (o( I L <br />ounty Attorney <br />Approval by Board [:] (Contracts $90,000.00 more for goods or services, $250,000.00 or more for construction, r any BOCC <br />consultant contract). Approval b manager (All other- contracts). This contract has been reviewed and approved by the Attorney as <br />to legal fonn and sufficiency: <br />Attorneys Signature ]ate <br />County Manner <br />This contract has been reviewed and is approved by the County Manager Ye ❑ o❑ . <br />This contract has been reviewed and is for signature byjhp Chair Yes❑ o - . <br />Manager's Signature: <br />Approved by on the � day of <br />Clerk's Signature: <br />Revised November 2011 <br />Date: -.J <br />} le to the Board <br />F r <br />Submitted for chair ignr e ay of 2 <br />....__ . Date: ., <br />