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►A-►°2 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: Clark Poe Construction Company,Inc. PartyNendor Contact Person: Clark Poe Contact Phone: 919-929-8610 <br /> PartyNendor Address: 134 Granger Road City Chapel Hill State:NC Zip:27516 Department: AMS Amount:$23,825 Purpose: <br /> Demolition, Masonry Sawcutting,Hardware Installation at Triangle Sportsplex Locker Room Renovation udget Code(s): 535 30030 <br /> 803000 Vendor#56837 (N/A if new vendor) Vendor is a BOCC consultant? Yes ❑No/ii Contract Type: (Check one)New <br /> Renewal❑ Amendment ❑ Effective Date April 27,2012 Approved by Board Yes❑No/1 Agenda Date: Title of <br /> Contract: <br /> If this is a Grant Agreement,pre-application has been approved by the Board of Commissioners Yes❑Non. If submitted for bid were <br /> bids/RFPs received Yes No❑ Bid/RFP number 1653This contract has been reviewed and approved by the Department Director as to <br /> technical content: <br /> Department Director's Signature: e Date: el' 2-7'l L <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: 'GL; Luto; 0.4C; ❑ Professional; ❑'lCoperty; OR No Insurance Required U . Hold <br /> Contract pending receipt of Certificate of Insurance U . With incorporation of Insurance provisions as shown, this contract is approved <br /> by the Risk Manager: <br /> Risk Manager's Signature: t Date: Li• Z 7• ( 2— <br /> f ec kt .3 �,,; +,,eA o W..27/1 <br /> Financial Services, <br /> This Contract is conditio d pon appropriation by the Board of Commissioners Yes❑No . A budget amendment is necessary <br /> before approval Yes❑No:1. 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 Acft::,,� <br /> Financial Services Director's Signature: el am..., .1. �d'"" , Date: L 13° 12- <br /> . .1-trip I le_ <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 N (Most other contracts$1,000 and above). Department Director approval only ❑ (Under <br /> $1,000). This contract has bee 1,-viewed and approved by the Attorney as to legal form and sufficiency: <br /> / <br /> Attorney's Signature V* _ Date: s1! tz <br /> / County Manager, <br /> This contract has been reviewed and is approved by the County Manager Yes[J No❑. <br /> This contract has been reviewed and is for si:_ ature by the air Yes❑No®. / <br /> Manager's Signature: ,I I <br /> ‘0111 Date. i' 4- <br /> lerk to the B am/ <br /> Approved by BOCC on the day of ,20 . S fitted err Chair signature on the ay of , 0 <br /> Clerk's Signature: ifa— Date: `�/ 12 <br /> 1f <br /> Revised March 2012 <br />