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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: 5th Wall Building Diagnostic Consultants Party/Vendor Contact Person: Jeff Spady Contact Phone:919-616-4715 <br /> Party/Vendor Address:9601 BaileMick Road City Raleigh State:NC Zip:27615 Department:AMS Amount:$10,400 Purpose: <br /> Sportsplex Roof Replacement Budget Code(s):53530030 803000 Vendor#58369 (N/A if new vendor) Vendor is a BOCC <br /> consultant? Yes❑NoN Contract Type:(Check one)New 0 Renewal❑ Amendment ❑ Effective Date 8/17/12 Approved by <br /> Board Yes❑NoE Agenda Date: Title of Contract: Sportsplex Pool Roof Renovation Design <br /> If this is a Grant Agreement,pre-application has been approv b the Board f minissioners Yes❑NoZ. If submitted for bid were <br /> bids/RFPs received Yes❑NoZ Bid/RFP number T * c tr h een viewed and approv9d by/he Department Director as to <br /> technical content: e1rX11 ie,-- <br /> Department Director's Snature: Date: <br /> IT Director <br /> (Applicable only to hardware/software purchases or related services)Th* contract has been reviewed and approved by the Information <br /> Technology Director as to technical content and information tec specifications: <br /> IT Director's Signature: Date: <br /> ,;I*s <br /> ilk M�aemesnt <br /> m <br /> WC <br /> Include the following coverages: dcGL; 9 Auto; WC; Professional; M Property; OR No Insurance Require M. Hold <br /> Professional; <br /> Contract pending receipt of Certificate f Insurance M. With incorporation of Insurance provisions as shown,this contract is approved <br /> by the Risk Manager: <br /> Risk Manager's Signature: el Date: <br /> Financial Services <br /> This Contract is conditioned on appropriation by the Board of Commissioners YesMNom./ 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: Z4_� /p, Date: <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 P(Most other contracts$1,000 and above). Department Director approval only r_1(Under <br /> $1,000). This contract has bee"eviewed dd approved by the Attorney as to legal form and sufficiency: <br /> Attorney's Signature Date: <br /> County Manager <br /> This contract has been reviewed and is approved by the County Manager YesEnNoEl. <br /> This contract has been reviewed and is for signature by t e Chair YesE1NoL2` <br /> Manager's Signature: _ - 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 />