Orange County NC Website
�� <br /> mr <br /> =.Z2)1. -- ~-2vi{ <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: Cecil Holcomb Renovations, Inc. Party/Vendor Contact Person: Cecil Holcomb Contact Phone: <br /> Party/Vendor Address: 8315 Ia Matisse Road City Raleigh State:NC Zip:27615 Department: Solid Waste Amount: $89,000 Purpose: <br /> Neighborhood Cleanup Budget Code(s): 50351020 682006 Vendor#n/a N/A if new vendor) Vendor is a BOCC consultant? Yes <br /> Li Y4oZ Contract Type: (Check one)New Renewal El Amendment El Effective Date August 1 Approved by Board YeoEINo <br /> El Agenda Date: Title of Contract: Waste Removal & Hauling <br /> If this is a Grant Agreement, pre-application has been approved by the Board of Commissioners YcoEl NoEl. If submitted for bid were <br /> bido/RFPy received Yes.2 NoEl B1dIRFP number 5l85This contract has been reviewed and approved by the Department Director as to <br /> technical content: <br /> D epartment Director's Signature: »01 r _ 0 Date: 7-2..3 <br /> IT Director <br /> (Applicable vn�/o6urd*oru6�Ywureporc6o'/oor 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: <br /> � » � �Date: <br /> �� « � <br /> ^y /~ Management Include the following coverages: C0L; �� &uto� iE WC; 0 Professional; [7 Property; OR No Insurance Required E]. Hold <br /> Contract pending receipt of Certificate of Insurance El. With incorporation of Insurance provisions as shown, this contract is approved <br /> by the Risk Manager: <br /> /� � <br /> � <br /> Risk Manager's Signature: [� 0. Dutc: 7/^�"� /2- <br /> 1~~,, .7/z(4.}ie._ <br /> Financial Services <br /> o� <br /> This Contract is conditioned appropriation by the Board of Commissioners YeaFly�oL�� A budget amendment is necessary <br /> before approval Yoau NoY. 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 Bud d Fi al Control Act: <br /> � <br /> Financial Services Director's Signature: i�' �� Date: '71241/2- <br /> County Attorney <br /> Approval by Board E (Contracts $90'000,00 or more for goods or services, $250.000.00 or more for oonmruuinn, or any BOCC <br /> consultant contract). Approval by Manager (Most other contracts$1,000 and above). Department Director approval only LI (Under <br /> $1.000). This contract has beeffeview.d and approved by the Attorney as to legal form and sufficiency: <br /> ' <br /> �� L <br /> Attorney's Signature �� ^ ^ 7/4711g- <br /> 1 <br /> A Dutc: <br /> County Manager <br /> This contract has been reviewed and is approved by the Couty Manager Y~^z=rNo0. <br /> This con�ucthas been rcvio`vcdand io for s'' iatur ro�7Y4 <br /> ���� ��`���mumger"o8ignmru,e: �N� Dorc _ / / �~- ~ <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 />