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;201. 1 <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 Q' <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: N.I.C.E.and Green PartyNendor Contact Person: Chris Weske Contact Phone:336-404-9197 PartyNendor <br /> Address: 1183 University Drive,#105-113 City Burlington State:NC Zip:27215 Department:AMS Aiwa:$109,900 Purpose: <br /> Flooring and Wall Renovations for Triangle Sportsplex Locker Rooms Budget Code(s): 535 30030 803000"Vendor#60940 (N/A if <br /> new vendor) Vendor is a BOCC consultant? Yes❑No Contract Type: (Check ope New ® Renewal ❑ Amendment ❑ <br /> Effective Date April 27,2012 Approved by Board Yes❑No Agenda Date:t 21141((Title of Contract: <br /> If this is a Grant Agreement,pre-application has been approved by the Board of Commissioners Yes❑NoZ. If submitted for bid were <br /> bids/RFPs received Yes Non Bid/RFP number 1651This contract has been reviewed and approved by the Department Director as to <br /> technical content: <br /> Department Director's Signature: g- 4-, Date: 4' .77 (Z,-/ <br /> IT 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 og pecifications: <br /> IT Director's Signature: Date: <br /> Rik Management <br /> Include the following coverages: LGL; uto; F WC; ❑ Professional; a '�roperty; OR No Insurance Required E. Hold <br /> Contract pending receipt of Certificate of Insurance E. With incorporation of Insurance provisions as shown,this contract is approved <br /> by the Risk Manager: <br /> Risk Manager's Signature: t Date: y' 7j 7' (Z-, <br /> R.ec`d 3 a et1 ..f/.zt,k. <br /> Financial Services <br /> This Contract is condition d pon 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. Thi instrument has been pre-audited in the <br /> manner required by the Loca Government Budget and Fiscal Control t: <br /> Financial Services Director's Signature: Date: L <br /> -+ . -1-isol i z g �( I 3 <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 ManagerV'(Most other contracts$1,000 and above). Department Director approval only ❑ (Under <br /> $1,000). This contract has been reviewe nd approved by the Attorney as to legal form and sufficiency: <br /> Attorney's Signature Date: <br /> County Manager <br /> This contract has been reviewed and is approved by the County Manager Yea 1C-1- <br /> This contract has been reviewed and is for signature by the Chair Yes❑N <br /> 1 <br /> , <br /> Manager's Signature: � ' 1 4 Date: 51- (- (2.--- <br /> r to the Board <br /> Approved by BOCC on the day of ,20 .' Submi ed for Chair signature on the d y of ,20 . <br /> ')-...//l Date: 2- <br /> Clerk's Signature: �_ <br /> �� <br /> Revised March 2012 <br />