Orange County NC Website
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 /> Ph <br /> Party/Vendor Name: Baker Roofing Party/Vendor Contact Person: Prentice Baker Contact Ph e:919- W-L2975 Party/Vendor <br /> Address:517 Mercury Drive City Raleigh State:NQ Zip:27603 Department:AMS Amou : 184 5 ose:Replacement of End- <br /> of-Life Pool Roofing System Budget Code(s):53530030-803000 Vendor#54603 (N/A if n Vendor is a BOCC <br /> consultant? Yes❑NoE Contract Type:(Check one)New Z Renewal❑ Amendment ❑ Effective Date March 25,2013 <br /> Approved by Board Yes❑No[] Agenda Date: Title of Contract: Sportplex Pool Roof <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 YesE]No❑ Bid/RFP number 1.663This contract has been reviewed and approved by the Department Director as to <br /> technical content: <br /> Department Director's Signature: Date: 3/?-117 <br /> ireglar <br /> 0 <br /> This <br /> (Applicable only to hardware/software purchases or related se c- This onttract has been reviewed and approved by the Information <br /> �c <br /> Technology Director as to technical content and information technyolpecificat:ions: <br /> IT Director's Signature: Date: <br /> Risk Management <br /> Include the following coverages: MICGL; [0 Auto; 0 WC; ❑ Professional; (Property; OR No insurance Required 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:—W-7 <br /> Financial Services <br /> This Contract is No V conditioned on appropriation by the Board of Commissioners Yes❑Noa, A budget amendment is necessary <br /> before approval YesFj <br /> . 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 Bud e and Fiscal Control A <br /> Financial Services Director's Signature: k9_ Date: <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 review d proved by the Attorney as to legal form and sufficiency: <br /> Attorney's Signature Date:_ 3._/3_(3 <br /> County Manager <br /> This contract has been reviewed and is approved by the County Manager Yes 0❑. <br /> V m <br /> 77_�, <br /> This contract has been reviewed and is for signature the Cha* es❑N <br /> Manager's Signature: Date: <br /> Cler o 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 />