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0\04a -I97 �, , <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: Riley Surveying,P.A. PartyNendor Contact Person: Phil Riley Contact Phone:919-667-0742 PartyNendor <br /> Address: 3326 Durham Chapel Hill Blvd, Suite B-100 City Durham State:NC Zip:27707 Department:AMS Amount:$11,800 <br /> Purpose: Southern Human Services Master Plan Survey Budget Code(s):61370035-870000-10027 Vendor#52775 (N/A if new <br /> vendor) Vendor is a BOCC consultant? Yes ❑No Contract Type: (Check one)New® Renewal El Amendment ❑ Effective <br /> Date 7/6/2012 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❑No❑. If submitted for bid were <br /> bids/RFPs received Yes❑No❑ Bid/RFP number This contract has been reviewed and approved by the Department Director as to <br /> technical content: /Department Director's Signature: t- Date: /Z/�� <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: E 'CGL; 0 Auto; [r WC; [r Professional; El Property; OR No Insurance Required El. Hold <br /> Contract pending receipt of Certificate of Insurance [l. With incorporation of Insurance provisions as shown,this contract is approved <br /> by the Risk Manager: � /'� �I <br /> Risk Manager's Signature: el 4444. J✓. .%M' Date: 1/121(I- <br /> . /10v <br /> Financial Services <br /> This Contract is conditio a upon 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. This instrument has been pre-audited in the <br /> manner required by the Local Government Budget and Fiscal Control Act: <br /> Financial Services Director's Signature: el A. Date: 11/J! 1 z <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(Most other contracts$1,000 and above). Department Director approval only El (Under <br /> $1,000). This contract has been iewed d approved by the Attorney as to legal form and sufficiency: <br /> Attorney's Signature Date: OW/e <br /> * co/ Appeove,D ..,/,20/,4 u <br /> County Manager <br /> This contract has been reviewed and is approved by the County Manager Y No❑. <br /> This contract has been reviewed and is for si IA ature by the _hair Yes❑Noja- <br /> Manager's Signature: i Z Date: 7 ' 2- 3-/ Z-'' <br /> Clerk to the Board <br /> Approved by BOCC on the day of , 0 Submitted for Chair signature on the day of ,20 . <br /> Clerk's Signature: Date: <br /> Revised March 2012 <br />