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I ,.\ <br />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 Plumbing & Heating Company, Inc. Party/Vendor Contact Person: Jeff Addison Contact Phone: <br />919 - 220 -2554 Party/Vendor Address: ox 5-668` City Durriam State: NC Zip: 27704 Department: AMS Amount: $14,500.00 <br />Purpose: Plumbing Scope for Jail Kitchen Renovations Budget Code(s): 1024- 0320 -63 00 Vendor # 35730 (N /A if new vendor) <br />Vendor is a BOCC consultant? es ❑—No Contract Type: (Check oneTN_ew_E Renewal ❑ Amendment ❑ Effective Date 3/9/12 <br />Approved by Board Yes❑ No[] Agenda Date: Title of Contract: <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 />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: ��l'►'1 f k", Date: <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: [a CGL; p Auto; D VC; ❑ Professional; [-Property; OR No Insurance Required ❑. Hold <br />Contract pending receipt of Certificate of Insurance F]. With incorporation of Insurance provisions as shown, this contract is approved <br />by the Risk Manager: <br />Risk"" Manager's Signature: l Date: 3 Z <br />►tom¢ C �� 3�7 �2U I Z, air <br />Financial Services <br />This Contract is conditioned upon appropriation by the Board of Commissioners Yes ❑No A budget amendment is necessary <br />before approval Yes❑ No . If budget amendment is necessary, please attach to this form. 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: �l �"�`{^' /✓ - Date: �- <br />. �191un <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 <br />County Manager <br />This contract has been reviewed and is approved by the County Manager Yes ❑. <br />This contract has been reviewed and is for signature by the Ch' iX Ye j ❑No� <br />Manager's Signature: <br />Approved by BOCC on the day of 120. <br />Clerk's Signature: <br />Revised November 2011 <br />Date: 13/ a/ / P, <br />Date:` v <br />re on the _ day of 120 <br />/V /z- <br />