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s ORANGE COUNTY—CONTRACT CONTROL SHEET <br />Routing Order: 1 Department, IT, Risk Management, 4 Financial Services, Attorney, Manager, Clerk <br />This Document shall accompany all contracts and shall be submitted for signature in the Routing Order specified above. If the Manager <br />detennlnes 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 />P rty endor Name: Brown B others PlgmbiM'& Heating Company, Inc. Party Nend r Contact Person: Jeff Addison Contact Phone: <br />919- 220 -2554 Party 'endor Address: PO Box 1 Xt I uilai i " "-8tate: IBC Zip; 27704 Department: AMS Amount: $6,000.00 <br />Purpose: Plumbing Scope for Jail Kitchen Renovations Budget odes : 1050710 - 7150 - 0-00-800000 Vendor �# 35730 (NA if new <br />vendor) e n d o r is a f_30 r it � -Y -'ETN Contract Type: (Check one New ~Renewal ❑ Amendment El Bff cti c <br />Date 3/5/12 Approved by Board Yes❑ NoN Agenda Date: 'Title of Contract: <br />If this is a Grant Agreement, pro - application has been approved by the Board of Conunissioners Yes'❑ No[]. If submitted for bid were <br />bidslRFPs received Yes❑ NoE Bid R P number This contract has been reviewed and approved by the Department Director as to <br />technical content- <br />Department De rta ent Director's Signature: 46�m� Date: <br />IT Director <br />(,4pplicahle only to ardwarels f ari purchases or related set-vices) This contract has been previewed and approved by the Information <br />Technology Director as to technical content and information technology specifications: <br />IT Director's Signature: � ��.........--- ...... Date: <br />Risk Management <br />Include the following coverages: �C L; Auto; ; [:1 Professional; RTroperty; OR No Insurance Required El. 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 />Risli Manager's Signature: �� Date: 2 ` 2� <br />Financial Services <br />This Contract is condition d pon appropriation by the Board of Commissioners Ye ❑No A budget amendment is necessary <br />before approval Yes❑ No If budget amendment is necessary, please attach to this form. his instrument has been pre - audited in the <br />manner required by the Loca Govermnent Bu and Fiscal Contr Act: <br />Financial services Director's Signature: <br />Date. <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 All other contracts). This contract has been reviewed and approved by the Attorney as <br />to legal form and sufficiency: /,7 <br />Attorney's Signature A44X V.A Date: <br />W IF <br />County Manager <br />This contract has been previewed and is approved by the County Manager Yes o❑. <br />This contract has been previewed and 1s for signatu • by the air Yes ❑Nof?", <br />Manager's Signature: Date: <br />_ <br />Clerk to the Board <br />Approved by BCC on the day of - -- - _ _ _ _ 520 ub ed for Chair signature on the d y of , <br />1 ;`2 <br />Clerk's Signature: Date- <br />Revised November r 2 011 <br />