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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: Warren Hay Mechanical Contractors Party/Vendor Contact Person: Larry Warren Contact Phone:9,1q75-2-4362 <br /> Party/Vendor Address:PO Box 818 City Hillsborough State:NC Zip:27278 Department:Emergency Services Amo t: $6 600 <br /> Purpose:Warehouse Exhast Fan&Filtration Budget Code(s):61370035-880000-10037 Vendor#25352 (N/A if new nd endor <br /> is a BOCC consultant? Yes❑No[D Contract Type:(Check one)New[D Renewal ❑ Amendment ❑ Effective Date 5/1/13 <br /> Approved by Board Yes❑NoO Agenda Date: Title of Contract: <br /> If this is a Grant Agreement,pre-application has been approved by t Board of Commissioners Yes❑NoZ. If submitted for bid were <br /> bids/RFPs received Yes❑Non Bid/RFPpdeer This co ct has been reviewed and approved by the Department Director as to <br /> technical content: <br /> Department Director's Signature: Date: lih <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: ❑ CGL; [:] Auto; ❑ WC; ❑ Professional; ❑ Property; OR No Insurance Required C . 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: qj zrl,3 <br /> Financial Services <br /> This Contract is conditioned on appropriation by the Board of Commissioners YesnNom/ A budget amendment is necessary <br /> If <br /> before approval Yes❑No I 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 Bu and Fiscal Control ct: <br /> Financial Services Director's Signature: (To�l t"'t, - )-�, Date: qkl,3 <br /> County Attorney <br /> Approval by Board ❑ (Contracts $90,000.0 p or more for goods or services, $250,000.00 or more for construction, or any BOCC <br /> consultant contract). Approv by Manager[_M (Most other contracts$1,000 and above). Department Director approval only❑ (Under <br /> F'\ <br /> $1,000). This contract has b n revie approved by the Attorney as to legal form and sufficie cy: <br /> Attorney's Signature Date: <br /> County Manager Y <br /> �This contract has been reviewed and is approved by the Coui�ty Manager Non. <br /> This contract has been reviewed and is for s* na t it Yes❑NoE <br /> Manager's Signature: Date: <br /> 'Clerk to the Board <br /> Approved by BOCC on the day of 120_. Submitted for Chair signature on the_day of 120 <br /> Clerk's Signature: Date: <br /> Revised March 2012 <br />