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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: Paul L.Wilkerson Jr-Grading Company Party/Vendor Contact Person: Paul Wilkerson Contact Phone:919-810- <br /> 3572 Party/Vendor Address:4600 Brock Drive City Hurdle Mills State:NC Zip:27541 Department:EMS Amount: $7,878.00 <br /> Purpose: Grading and concrete ramp installation at EMS 510 Meadowlands Budget Code(s):61370035-880000-10037 Vendor#N/A <br /> (N/A if new vendor) Vendor is a BOCC consultant? Yes❑No❑ Contract Type:(Check one)New❑ Renewal❑ Amendment <br /> ❑ Effective Date 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 Commissioners Yes❑No®. If submitted for bid were <br /> bids/RFPs received Yes®No❑ Bid/RFP number NAThis contract has been reviewed and approved by the Department Director as to <br /> technical content: `P It/0#012, <br /> Department Director's Signature: Date: 4 liq <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 technology specifications: <br /> IT Director's Signature: Date: <br /> Risk Management <br /> Include the following coverages: Ef CGL; I Auto; WC; [f 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 /> I, t 9 <br /> Risk Manager's Signature: (_-� ,//. �� Date: l 2 /2- <br /> Financial Services <br /> This Contract is conditioned ipon appropriation by the Board of Commissioners Yes❑No(9'." 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: (�_— J, Date: Z tr Z <br /> County Attorney <br /> Approval by Board ❑ (Contracts $90,000.0 or more for goods or services, $250,000.00 or more for construction, or any BOCC <br /> consultant contract). Approva by Manager (Most other contracts$1,000 and above). Department Director approval only❑(Under <br /> $1,000). This contract has bec n eview d a proved by the Attorney as to legal form and sufficie cy: <br /> Attorney's Signature Date: 12- <br /> County Manazer <br /> This contract has been reviewed and is approved by the County Manager Yes N❑. <br /> This contract has been reviewed and is for signs r by hair Yes❑NoL3" <br /> Manager's Signature: Date: li' ;L l v <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 />