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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: Legacy Research Associates Party/Vendor Contact Person: Deborah Jov Contact Phone:919-215-6469 <br /> Party/Vendor AJdress:°I Woodridge Road City Durham State:NC Zip:27707 Department:Asst Management Services <br /> Amount: 0 not to excee rpose: Cultural&archaeological monitoring and analysis related to drilling of geo-thermal test well <br /> Budge le(s)�fiL 5-88200 -30018 Vendor#43430 (N/A if new vendor) Vendor is a BOCC consultant? Yes❑No® <br /> Contrac e:(Check one)New® Renewal❑ Amendment ❑ Effective Date 01/16/2013 Approved by Board Yes❑No® <br /> 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 This contract has been reviewed and approved by the Department Director as to <br /> technical content: <br /> Department Director',$Signature: t/ c Date: l 'Lk l3 <br /> Kbe i 3vtf R Ps <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: u CGL; [� Auto; El WC; 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 /> Risk Manager's Signature: G✓ Date: 2- 12--13 <br /> Financial Services <br /> This Contract is condition jpon appropriation by the Board of Commissioners Yes❑Nod A budget amendment is necessary <br /> before approval YesF]NolVI. 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 /> ta <br /> Financial Services Director's Signature: ( (I", •-,, /), Date: 7"12'� 3 <br /> County Attorney <br /> Approval by Board ❑ (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 (Under <br /> $1,000). This contract has been re iewed and approved by the Attorney as to legal form and sufficiency: <br /> _2_ <br /> Attorney's Signature v..., Date. <br /> County Mana¢er <br /> This contract has been reviewed and is approved by the County Manager Ye No❑. <br /> This contract has been reviewed and is for signature by the C ir/,Yes❑NoLJ! <br /> Manager's Signature: - Date: C--r <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 />