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/ <br /> ' <br /> - <br /> ~ , <br /> �2/d,-0q5 r -u' <br /> ORANGE COUNTY—CONTRACT CONTROL SHEET <br /> ~� - - - <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 Party/Vendor Contact Person: Jeff Addison Contact Phone: 919-220-2554 <br /> PurtyNeudor&ddrxo: Roxboro Rd City Durham State:NC Zip: 27704 Department: Asset Management Services Amount: <br /> $6,585 Purpose: Supply& installation of Backflow prevention valve,pressure reducing valve ai'd enclosure, "ci-auuched "untu/ion. <br /> Budget Code(s): 570000 Vendor#3j730 new vendor) endor is a BOCC consu tant. ~nu • No Contract Type-FCC-heck <br /> one)New E Renewal Amendment El Effective Date Approved by Board Yoo0No[X] Agenda Date: Title of <br /> Contract: <br /> If this is a Grant Agreement, pre-application has been approved by the Board of Commissioners},e»0NnFl. If submitted for bid were <br /> bido/DFPx received Yeo0Nn0 Qid/QFPnumbcr This contract has been reviewed and approved by the Department Director as to <br /> technical content: <br /> Department Director's Signature: 6-k' CPI� Date: q'z4/./3--' <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: Date: <br /> Risk Management <br /> Include the following coverages: lirCGL; ; ; El Professional; rrty; OR No Insurance Required El. Hold <br /> Contract pending receipt of Certificate of Insurance E]. With incorporation of Insurance provisions as obovm. this contract is approved <br /> by the Risk Manage : <br /> Risk Manager's Signature: f 4—�" " Date: Li-��q'/3/ . <br /> oM�cc '� 3 8Lo*v� � -�o ��/z 5//I' � d + �/�/�� �v ��°�"^^°� /16,1 �/-1P -7"D a- �/J Vr <br /> (C-ow-1'1'14-4~ <br /> ' <br /> Financial Services <br /> This Contract is conditioned ponoppvnpdubnnhythcBomdo[Conmmioviuue, `�es��l� . �\ b"dgo amendment � ococonry <br /> before approval`ye»�� l�o�O. If budget amendment is 000esoary, please attach to this form. his instrument has been pre-audited in the <br /> manner required by the Local Government Budget and Fiscal Control Act: <br /> Kv / <br /> Financial Services lNirector`oSignature: x�. Date: 4Y���//��___ <br /> County Attorney <br /> Approval by Board 11] (Contracts $90,000.08 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 /> / �� l <br /> Attorney's Signature Date: ��1�/2 <br /> � <br /> ' <br /> County Manager <br /> This contract has been reviewed and io approved hy the County Manager Yus[] moFl. <br /> This contract has been reviewed and is for sign uir Yes0lNo27 <br /> � <br /> Z--'----0�mmagor`m Signature: • Date: ^ -*. ~/~v- <br /> L �Y <br /> C • to the Board <br /> Approved by BOCC on the day of 20 Submitted K/rChuiroi�nuturc on __,20 . <br /> Clerk's Signature: ar /, Date: ~� / f(/ '_~ <br /> Revised November 2011 <br />