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51-4 <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: NC Department of Agriculture and consumer Services-NC Forest Service Party/Vendor Contact Person: John <br /> Howard,District forester Contact Phone: 919-732-8105 Party/Vendor Address: 3314 NC 86 South City Hillsborough State:NC Zip: <br /> 27278 Department:DEAPR Amount: $78,170.00 Purpose:Annual Forest Service Contract Budget Code(s): 10519550-720011 Vendor <br /> #25374 (N/A if new vendor) Vendor is a BOCC consultant? Yes❑NoE Contract Type: (Check one)New❑ Renewal E <br /> Amendment ❑ Effective Date Approved by Board YesZ No❑ Agenda Date:4. <br /> LO-12 Title of Contract:Agreement for the <br /> Protection,Development and Improvement of Forest Land in Orange County,NC <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: <br /> Department Director's Signature: Date: <br /> A 23 2 <br /> IT Director <br /> (Applicable only to hardware/software purchases or related services)This contract has been reviewed and approved by the Information <br /> Tee ology Dire for as to technical content and information technology specifications: <br /> IT DDXiirecls Signature: Date: <br /> Risk Management <br /> Include the following coverages: ❑ CGL; ❑ Auto; ❑ WC; ❑ Professional; F-1 Property; Of', No Insurance Required Yr Hold <br /> _'d <br /> Contract pending receipt of Certificate of Insurance L�N With incorporation of Insurance provisions as shown, this contract is approved <br /> by th Risk nager: <br /> t IZ <br /> Risk an er's Signature:A041z"I Date: <br /> / _Ll� , I- <br /> FUCS <br /> Financial Services <br /> This Contract is conditioned Xpon appropriation by the Board of Commissioners YesE]NoE/ A budget amendment is necessary <br /> before approval Yes❑No[g. 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: 1 <br /> '716 <br /> Financial Services Director's Signature: Date: 4 f-V t, Z. <br /> County Attorney <br /> Approval by Board/ <br /> (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 F-1(Under <br /> $1,000). This contract has been reviewed and a ved by the Attorney as to legal form and sufficiency: <br /> A t t o r\nCV1S_Signature Date: <br /> County Manner <br /> This contract has been reviewed and is app Dyed by the C unty Manager Y No❑. <br /> This contract has been reviewed and is fo s n b t e air Ye40'No[:1. <br /> ,a <br /> M4<sSignature: Date- <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 />