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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: Thomas C.Blalock,Jr. DBA Blalock's Towing and RecoveryL Party/Vendor Contact Person: T.C.Blalock <br /> Contact Phone:919-732-8026 Party/Vendor Address:3504,NC 86 South City Hillsborough State:NC Zip:27278 Department:AMS <br /> Amount:N/A Purpose:Towing of illegally parked vehicles on County proper ,Budget Code(s):N/A Vendor#41572 (N/A if new <br /> vendor) Vendor is a BOCC consultant? Yes❑Noo Contract Type:(Check one)New 0 Renewal ❑ Amendment ❑ Effective <br /> Date March 1,2013 Approved by Board Yes❑NoE Agenda Date:N/A Title of Contract: Towing <br /> If this is a Grant Agreement,pre-application has been approved by the Board of Commissioners Yes❑NoE. If submitted for bid were <br /> bids/RFPs received Yes❑NoZ Bid/RFP number N/A This contract has been reviewed and approved by the Department Director as to <br /> technical content: <br /> Department Director's Signature: Date: <br /> IT Di ctor <br /> (Applicable only to hardwarelsoftware purchases or related services) is ontract has been reviewed and approved by the Information <br /> I <br /> Technology Director as to technical content and information technolyopecifications: <br /> IT Director's Signature: Date: <br /> Risk Magagement <br /> Include the following coverages: [j(CGL; (2 Auto; [Rrwc; [5 Professional; 0 Property; OR No Insurance Require El. 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: Date: I 1,3 <br /> Financial Services <br /> This Contract is conditioned No <br /> conditioned appropriation by the Board of Commissioners YesEl Ed 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: � JI—_ Date: 7­1 t4ij <br /> County Attorney <br /> Approval by Board ❑ (Contracts $90,000.00 jor 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 /> S1,000). This contract has been reviewed approved by the Attorney as to legal form and sufficiency: <br /> Attorney's Signature Date:,,i—o—/3_ <br /> County Manager I <br /> This contract has been reviewed and is approved by the Co my Manager Yffllo❑. <br /> This contract has been reviewed and is for signature lheEair Yes❑No <br /> Manager's Signature: Date:2 2 <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 />