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• <br /> m ��� <br /> A }� ' <br /> ORANGE COUNTY—CONTRACT CONTROL SHEET <br /> Routing Orde : (l)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: Carolina Sunrock,LLC(formerly ��Jordan Pavement&;{; dio Pu�y/VeodorContact Person: <br /> Blake Horning Contact Phone: 9\g'956J�00 9ur�v�/�TGT&ddroox:2)l6CamdeicA-vonuc City Durham State:NC Zip: 27704 <br /> Department: AMS Amount: $25,584.25 Purpose: Pavement repair, eoo!coatbmg,stripiug,and concrete repair of Link(}SC and Annex <br /> garkinglots Budget Code(s): 61370035-880000-30035 Vendof t new vendvendoVendor is a BOCC consultant' Yes El <br /> NnZ Contract Type: (Check one)New i4 Renewal 0 Amendment Effective Date 4/27/2Ol2 Approved by Board `yeonNo <br /> Fl Agenda Date: Title of Contract: <br /> If this is a Grant Agreement,pre-application has been approved by the Board of Commissioners Yeo0Non If submitted for bid were <br /> bids/RFPs received Yes Yuo0 Bid/RFP number 5168. unit prices for Landfill Paving contractThis contract has been reviewed and <br /> approved by the Department Directo b i \ <br /> Department Director's Signature: 0411 ^ / ji ��- Date: q'd/5. <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: EI/CGL; [El/Auto; rq4C; Fl Professional; 0 Property; OR No Insurance Required J. Hold <br /> Contract pending receipt of Certificate of Insurance j. With incorporation of Insurance provisions as shown, this contract is approved <br /> by the Risk Manager: <br /> ==. ,Z ~ <br /> Risk Manager's Signature: Wv*mt Date: -, "�� �/a�' <br /> Financial Services <br /> This Contract is dhi appropriation by the Board f C i i m lco0N � A budget amendment is necessary <br /> upy,nvu}lco0 if budget amendment is ncocuoary,please attach to this fo//^. This instrument has been pre-audited in the <br /> manner required by the Local Government BBudget <br /> dFiuoa|Coo�o|'�ct: <br /> Financial Services l»imcctnr,»Signature: J. Date: Li-~al'_/2- <br /> County Attorney <br /> Approval by Board El (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: <br /> Attorney's Signature <br /> Date: 6//a. <br /> County Muoue�r <br /> This cou�oc,has been n:vio`~ndand io approved by the County��anuger l�m�]Y4o0. <br /> This contract has been reviewed and is for signature b h i, Yco0NDE[ <br /> � 1 ^ - <br /> Manager's Signature: � ~ Date: <br /> Cler tb- :"u d <br /> /\ppnovodbyBOCCoothed"yv[ ,20 S ViritrOr S ' ff ' r Chair signature on the d of ,20 <br /> � y�� <br /> � <br /> Clerk's Signature: , | Date: <br /> �- <br /> Revi5ed November 2011 <br />