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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 /> V FW_Z i1Q') `7EF�-_) Department <br /> Party/Vendor Name: Federal Engineering,Inc. Party/Vendor Contact Person: Larry Keller Contact Phone:703-359-8 aftyNendor <br /> Address: 10600 Arrowhead Drive City Fair State:VA Zip:22030 Department:Emergency Services Amount- - R30 3e: <br /> needs assessment Budget Code(s): Vendor#na (N/A if new vendor) Vendor is a BOCC consultant? Yi s El Contract <br /> Type: (Check one)New M Renewal❑ Amendment ❑ Effective Date Approved by Board YesF_1 No Agenda Date: <br /> 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 YesE No❑ Bid/RFP number 5188This contract has been reviewed and approved by the Department Director as to <br /> technical content: GA 7-1 <br /> p <br /> Department Director's Signature: Date: it <br /> .............. <br /> IT Director <br /> (Applicable only to hardwarelsoftware 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 /> R'sk�t <br /> ,_jisk Ma Professional;s ic Hold <br /> Include the following coverages. Q`CGL; E� Auto; WC; , Professional; R Property; OR No Insurance Required F <br /> Contract pending receipt of Certificate of Insurance Fl. With incorporation of Insurance provisions as shown,this contract is approved <br /> by the Risk Manager: I Risk Manager's Signature: A. 41,1_ Date: <br /> t 1,Z:71 IL-_ <br /> Financial Services <br /> This Contract is conditioned on appropriation by the Board of Commissioners YesF�NoEg/ A budget amendment is necessary <br /> before approval YesF�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 /> P , <br /> Financial Services Director's Signature: L/t P4 j__ /) Date: <br /> County Attorney <br /> Approval by Board ❑ (Contracts $90,000[(Most or more for goods or services, $250,000.00 or more for construction, or any BOCC <br /> consultant contract). Approval by Manager other contracts$1,000 and above). Department Director approval only❑(Under <br /> $1,000). This contract has:be:eMrAeviewe d approved by the Attorney as to legal form and sufficiency: <br /> ILI <br /> Attorney's Signature Date: <br /> V <br /> County Manner <br /> This contract has been reviewed and is approved by the Cou ty Manager YcsXNoF_1. <br /> This contract has been reviewed and is for signs WT�y t YesFjN <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 />