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ORANGE 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. lf the Manager <br /> determines the contract is not appropriate for Manager approval the Manager shall submit the contract for B8CCapproval. Contracts for <br /> BOCC approval must be submitted through,and complete,the routing process prior to agenda review. Contracts for legal review should <br /> 6c completed through the legal review process prior tobeing routed for signature. <br /> Department <br /> Pu/tyyYcudorNumc: Party/Vendor Contact Person: Kevin Letchworth Contact Phone:(919)266-9223 <br /> Purty/Vendoc&ddreom:P.O.Box 1958 City Wendell State:N{� Zip:27591 Departmcut:IDE\Jgl Amount: $11L2 Purpose: <br /> Irrigation well and hook-ups Budget Code(s): 10515030 Vendor# vendor) Vendor iaoB0CCconsultant? Yen <br /> [I NoZ Contract Type: (Check one)New Z Renewal &meudozuut R Effective Date June l� Z8l3 Approved byBoard YeaR <br /> Y4uZ Agenda Date:n/a Title ofContract: Construction Services under$25,000 <br /> If this iuu Grant Agreement,pre-application has been approved by the Board uf Commissioners l,emZNoR. If submitted for bid were <br /> bido/0FPu received YexR NoE] Bid/DFy number l668Thiy contract has been reviewed and approved hy the Department Director aauo <br /> technical content: <br /> Department Director's Signature: Date: <br /> IT Director <br /> (Applicable only m6o/6vurelsoftwurc purchases o,related services)This contract has been reviewed and approved hy the Information <br /> Technology Director umto technical <br /> � <br /> � <br /> X~ireotor`oSiguutmmc: <br /> Date: 5 <br /> Risk Manaj!ement <br /> Include the following coverages: 9 CGL; c �uto; � WC; [l Professional; [YPrupe�y; <br /> OR F]. Hold <br /> Connucpeodiug�ce�tofCe�i�c�eofbnuurunoel. 9hbbucurpor�iunuf Insurance prov��oeom shown, @h�nontmct� approved <br /> hy�e Risk Muo�� <br /> Risk Manager's Signature: <br /> Date: <br /> Financial Servi <br /> This Contract i0000JJ� d opprop���iouhy the Board of/Comnivaiouem ycoO4ov & budget amendment ionecessary <br /> before approval YcoR <br /> No[g. {f budget amendment|onecessary,y|eooe attach tothis Onoo. This instrument has been pre-audited in the <br /> manner required hythe Local Government Budget and Fiscal Cn ct: <br /> Financial Services Director's Signature: Duau <br /> 4T4-- <br /> County Attorney <br /> Approval by Board R (Contracts $9000000 more for goods or sucviuca. $250,000.00 or more for construction, or any 80CC <br /> consultant contract). Approval by&Xonuge oatoUhcrcoutoctm$l.000undabovc). Department Director approval only (Under <br /> $1,000). This contract has been revi d approved by the legal fo d sufficiency: <br /> Attorney's Signature Date: <br /> This contract has been reviewed and is approved by the C Manager Ye�o�dn. <br /> This contract has been reviewed and is for signature y ir YesRNoD�� <br /> Manager's Signature: —9a Date: -z--z- <br /> 1_�lerk to the Board <br /> Approved hyBOCCnu the day of 20___, Submitted for Chair signature nu the day of <br /> Clerk's Signature: Date: <br /> Revised March 2012 <br />