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2'�? ORANGE COUNTY—CONTRACT CONTROL SHEET f 2 z.e f <br /> Routing Order: (1)Department,(2)IT,(3)Risk Management,(4)Financial Services,(5)Attorney,(6)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 /> 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 /> PartyNendor Name: Penn-Davis Coating,Inc., PartyNendor Contact Person: Hunter Lumsden Contact Phone: 919-779-0271 <br /> Party/Vendor Address: P.O.Box 575, City Garner State:NC Zip:27529 Department: Asset Management Services Amount: <br /> $24,570.0 Purpose: Resurface kennel walls in Dog Adoption wing,Animal Services Center Budget Code(s): 61370035 880000 10035 <br /> Vendor# (N/A if new vendor) Vendor is a BOCC consultant? Yes❑No Contract Type:(Check one)New /1 Renewal <br /> ❑ Amendment ❑ Effective Date 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: O Y/ ., Date: .3.2,z-/Z <br /> I\ it ctor <br /> (Applicable only to hardware/software purchases or related service This contract has been reviewed and approved by the Information <br /> Technology Director as to technical content and information techn o specifications: <br /> IT Director's Signature: Date: <br /> Risk Management <br /> Include the following coverages: I CGL; ["Auto; Et/C; ❑ Professional; ❑ Property; OR No Insurance Required E. 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: h ij"7/ Date: 3 .Z L ./2-- <br /> 3424,1 cx.eD & °d 3/19/t 2 <br /> Financial Services <br /> This Contract is condition d upon appropriation by the Board of Commissioners YesENotXt 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 Loca Government Budget and Fiscal Control Act: <br /> Financial Services Director's Signature: L ' 1 22\4J__, Date: .'Lc '1 Z <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 (Most other contracts$1,000 and above). Department Director approval only ❑ (Under <br /> $1,000). This contract has been r iewed and approved by the Attorney as to legal form and sufficiency: <br /> Attorney's Signature ,( Date: 3/2c1//�9 <br /> UpJ.17t Co/ /exeu/kwb. .C1srs oc A,6 6‘)0/@(s As 14D •-. MISO,ek-b <br /> County Manager <br /> This contract has been reviewed and is approved by the County Manager Y Nom❑ <br /> This contract has been reviewed and is for signature by the Chair Ye UNo <br /> • 0 ' 0 <br /> Manager's Signature: Date: c,"27-/ <br /> CleriLto the Board <br /> Approved by BOCC on the day of ,20 . Submitted for Chair signature on the day of ,20 <br /> Clerk's Signature: / <br /> ignature: �i / I / '/it.. Date: i ' )/( Z <br /> Revised March 2012 <br />