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22 ,i -_ r;'7 <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 /> Party/Vendor Name: Mackem Construction,LLC Party/Vendor Contact Person: Ian Dalton Contact Phone:919-428-5826 <br /> Party/Vendor Address:PO Box 1205 City Carrboro State:NC Zip:27510 Department:AMS Amount:not to exceed$12,400 Purpose: <br /> Eno River Parking Deck Structure and Concrete Repairs Budget Code(s): 10240320-570000 Vendor#60587 (N/A if new vendor) <br /> Vendor is a BOCC consultant? Yes❑No Contract Type: (Check one)New® Renewal❑ Amendment ❑ Effective Date <br /> 7/20/12 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 Co •issioners Yes❑No❑. If submitted for bid were <br /> bids/RFPs received Yes❑No❑ Bid/RFP number Th.- co. act has bee eviy/ed and approve by Department Director as to <br /> technical content: �, / 7 /Z___- <br /> Department Director's Signature: 4i.e.„7/ 74,pe.7 L---- Date: ill///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 techn ogy pecifications: <br /> IT Director's Signature: Date: <br /> disk Management <br /> Include the following coverages: CGL; Auto; [1 WC; ❑ Professional; ❑ Property; OR No Insurance Required ❑. Hold <br /> Contract pending receipt of Certificate of Insurance ❑. With incorporation of Insurance provisions as shown,this contract is approved <br /> by the Risk Manager: � <br /> Risk Manager's Signature: 6(14"---6.., i y, Date: 7/210 l u zi <br /> . <br /> ' I11 <br /> Financial Services <br /> This Contract is conditioned on 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 Contro Act: <br /> Financial Services Director's Signature: mil,�'�"„— . . Date: W/ 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). Approval by Manager Jf (Most other contracts$1,000 and above). Department Director approval only❑ (Under <br /> $1,000). This contract has be y reviewed and approved by the Attorney as to legal form and sufficiency: <br /> Attorney's Signature t • i 71,1 Date: 7/4Tha <br /> County Manager <br /> This contract has been reviewed and is approved by the County Manager Yes12To❑. <br /> This contract has been reviewed and is for signature by the Chair Yes❑NoD! <br /> 1 <br /> Manager's Signature: <br /> i <br /> ' I ' Date: 7'"2?- <br /> Y <br /> ,/r <br /> Clerk to the Board <br /> Approved by BOCC on the day of ,20 . Submitted for Chair signature on the day of ,20 . <br /> Clerk's Signature: Date: <br /> Revised March 2012 <br />