Orange County NC Website
Browse       Search
�3- IoZ <br /> 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: ANDY LLOYD LAND INVESTMENT COMPANY,LLC Party/Vendor Contact Person: Andrew Ben Lloyd,Jr. <br /> Contact Phone: 919-880-568 -Party/Vendor Address:2701 US 70 W City Efland State:NC Zip:27243 Department: Planning& <br /> Inspections Amount:14 900.00 pose:Well Abandonment Budget Code(s): 61370035-880000-30017 Vendor# (N/A if new <br /> vendor) Vendor' a B consultant? Yes❑Nog Contract Type:(Check one)New® Renewal❑ Amendment ❑ Effective <br /> Date 4/15/13 Appro by Board Yes❑No® Agenda Date: Title of Contract:WELL ABANDONMENT AGREEMENT <br /> If this is a Grant Agreement,pre-application has been approved by the Board of Commissioners Yes❑Nog. If submitted for bid were <br /> bids/RFPs received Yes❑ No® Bid/RFP number N/AThis contra has been reviewed and approved by the Department Director as to <br /> technical content: <br /> Department Director's Signa re: Date: <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 [/ 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: UA-f 4,4,L-- A � Date: 2� ? <br /> Financial Services <br /> This Contract is conditioned pon appropriation by the Board of Commissioners Yes❑No 1m 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 nand,Fiscal Contro Act: <br /> Financial Services Director's Signature: Date: Z S <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=vved and approved by the Attoxney as to and sufficiency: <br /> Attorney's Signature <br /> County Manaeer <br /> This contract has been reviewed and is approved by the County Manager Y ❑. <br /> This contract has been reviewed and is for si e b Yes❑N <br /> Manager's Signature: Date:J <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 />