Orange County NC Website
CD1Z- e5 <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 <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: Agri-Waste Technology,Inc. PartyNendor Contact Person: Kevin D.Davidson Contact Phone: 919-859-0669 x <br /> 2306 PartyNendor Address: 5400 Etta Burke Court, Suite 200 City Raleigh State:NC Zip:27606 Department:Housing,Human <br /> Rights and Community Development Amount:$5,300 Purpose:Engineering Services Budget Code(s): 32470920-782003 Vendor# <br /> N/A (N/A if new vendor) Vendor is a BOCC consultant? Yes❑No❑ Contract Type: (Check one)New® Renewal ❑ <br /> Amendment ❑ Effective Date 05/21/2012 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❑NoEl. If submitted for bid were <br /> bids/RFPs received Yes❑Nor] Bid/RFP number This contract has been reviewed and approved by the Department Director as to <br /> technical content: /Department Director's Signatu /� - /, Date: :=°"" (/;.2--i <br /> IT V- ctor <br /> (Applicable only to hardware/software purchases or related servi s This contract has been reviewed and approved by the Information <br /> Technology Director as to technical content and information to• olo pecifications: <br /> IT Director's Signature: Date: <br /> Risk . s,ement <br /> Include the following coverages: ❑ CGL; ❑ Auto; ❑ WC; • ' ofessional; ❑ Property; OR No Insurance Required O. Hold <br /> Contract pending receipt of Certificate of Insurance D. With i orp■ ation of Insurance provisions as shown,this contract is approved <br /> by the Risk Manager: <br /> Risk Manager's Signature: Date: <br /> Financial Services. <br /> This Contract is condition pon appropriation by the Board of Commissioners Yes0No1( 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 Local Government Budg tt and Fiscal Control Act: i <br /> Financial Services Director's Signature: `�'�✓ • Date: (91 S 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). Appro y by Manager (Most other contracts$1,000 and above). Department Director approval only ❑ (Under <br /> $1,000). This contract has beet revie d approved by the Attorney as to legal form and sufficie cy: <br /> Attorney's Signature Date: <br /> (o l3 2 <br /> County Manager, <br /> This contract has been reviewed and is approved by the County Manager Yes o❑. <br /> This contract has been reviewed and is for signature by the Chair Yes❑N sC. <br /> Manager's Signature: Date: <br /> Clerk the Board <br /> Approved by BOCC on the day of ,20 . Sub 'tte 4r Chair signature on the day of ,20 <br /> �,/�� Ll <br /> Clerk's Signature: r Date: <br /> Revised March 2012 <br />