2011-367 ED - Rogers Cattle Company, Inc. for PFAP facility use

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ORANGE COUNTY—CONTRACT CONTROL SHEET $ Routing Order: (1)Department,(2)IT,(3)Risk Management,(4)Financial Services,(5)Attorney,(6)Manager,(7)Clerk This Document shall accompany all contracts and shall be submitted for signature in the Routing Order specified above. If the Manager determines the contract is not appropriate for Manager approval the Manager shall submit the contract for BOCC approval. Contracts for BOCC approval must be submitted through,and complete,the routing process prior to agenda review. Contracts for legal review should be completed through the legal review process prior to being routed for signature. Department Party/Vendor Name: Rogers Cattle Party/Vendor Contact Person: Johnny Rogers Contact Phone: 336-504-7268 Party/Vendor Address:945 Woodsdale Road City Roxboro State:NC Zip:27574 Department:Economic Development/PFAP Amount: Purpose:Use o�f facility Budget Code(s): Vendor# (N/A if new vendor) Vendor is a BOCC consultant? Yes❑NOR Contract Type:(Check one)New® Renewal❑ Amendment ❑ Effective Date 11/9/11 Approved by Board Yes❑No® Agenda Date:NA Title of Contract:User Services If this is a Grant Agreement,pre-application has been approved by the Board of Commissioners Yes❑No®. If submitted for bid were bids/RFPs received Yes❑No❑ Bid/RFP number This contract has been reviewed and approved by the Department Director as to technical content: Department Director's Signature: Date: I iree r (Applicable only to hardware/software purchases or related services is contra has been reviewed and approved by the Information Technology Director as to technical content and information technolo specifications: IT Director's Signature: Date: 6 �l Risk Management Include the following coverages: 4 CGL; ❑ Auto; ❑ WC; ❑ Professional; ❑ Property; q M. Hold ❑ OR No Insurance Required Contract pending receipt of Certificate of Insurance,Eg-"With incorporation of Insurance provisions as shown,this contract is approved by the Risk Manager: A+64*7 CIMS.yt t l cLt+�EG �dCLi� 1,,eab Oi it j Risk Manager's Signature: Date: Kield Financial Services This Contract is conditioned upon appropriation by the Board of Commissioners Yes❑No[ . A budget amendment is necessary before approval Yes❑Not. If budget amendment is necessary,please attach to this form. This instrument has been pre-audited in the manner required by the Local Government Budget and Fiscal Control Act: Financial Services Director's Signature: a 4/�C,, 4, � Date: 1412111 County Attorney Approval by Board ❑ (Contracts over $90,000.00 for goods or services, $250,000.00 for construction, or any BOCC consultant contract). Approval by Manage 11 other contracts contract has been reviewed and approved by the Attorney as to legal form and sufficiency: Attorney's Signature Date: County Manager This contract has been reviewed and is approved by the County Manager Yes�io❑. This contract has been reviewed and is to be submitte for BOCC consideration Yes❑No4. Manager's Signature: ! Date: rf rl Clerk to the Board Approved by BOCC on the_day of ,20 Submitted for Chair signature on the_day of ,20 Clerk's Signature: Date: Revised April 2010