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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: Burke Design Group Party/Vendor Contact Person: Ben Burke Contact Phone:9 -771 1916 Party/Vendor <br /> Address:3305-109 Durham Drive City Raleigh State:NC Zip:27603 Department:AMS Amount: 1 996 P e:Misc Building <br /> CAD Floor Plans for Engineering Services Budget Code(s): 10240320-570000 Vendor#60926 /A if ne endor) Vendor is a <br /> BOCC consultant? Yes❑No❑ Contract Type: (Check one)New® Renewal❑ Amendme t ective Date 04/19/13 <br /> Approved by Board Yes❑No❑ Agenda Date: Title of Contract:Contract Under$1 . 00 En ineering Services-Misc <br /> Buildine CAD Floor Plans <br /> If this is a Grant Agreement,pre-application has been approved by the Board of Commissioners Yes❑No❑. If submitted for bid were <br /> bids/RFPs received Yes❑No❑ Bid/RFP number This contract has been reviewed and approved by the Department Director as to <br /> technical content: <br /> Department Director's Signature: fi Date: S 1 Z (13 <br /> IT Dim`to <br /> (Applicable only to hardware/software purchases or related services T .s contract has been reviewed and approved by the Information <br /> Technology Director as to technical content and information technolo 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: /J• Date: 4W <br /> Financial Services <br /> This Contract is conditioned on appropriation by the Board of Commissioners Yes❑No 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: aall_ L � Date: <br /> County Attorney <br /> Approval by Board ❑ (Contracts $90,000.00 gy more for goods or services, $250,000.00 or more for construction, or any BOCC <br /> consultant contract). Approval by Manager,21-(Most other contracts$1,000 and above). Department Director approval only❑ (Under <br /> $1,000). This contract has been reviewed and ved by the Attorney as to legal form and sufficiency: <br /> Attorney's Signature ' Date: /7 �� <br /> County Manager <br /> This contract has been reviewed and is approved by the County Manager Yes ❑. <br /> This contract has been reviewed and is for signature by the Chair e ❑No <br /> Manager's Signature: Date: <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 />