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ISO <br /> ORANGE ONTRACTCONTROL SHEET <br /> Routing Order: (l)Department,(2)IT,(3)Risk Management,NU 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. ]f 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 tobeing routed for signature. <br /> Department <br /> Party/Vendor <br /> Party/Vendogdres,,4120-C Woodwinds Industrial Court City Cary State:NC Zip:27511 Department: Asset Management Services <br /> Amount: 203.3 ose: The A plication of 3M High Performance Night Vision 15 Window Film at Central Orange Senior Center <br /> as outli ed e - (-.h,-.d proposal dated May 14,2013 Budget Code(s): 10240320-570000 Vendor#61561 (N/A if new vendor) <br /> Vendor)s-�C consultant? Yes F]NoE Contract Type: (Check one)New E RenewalE] Amendment Fj Effective Date <br /> Approved by Board YesE]No[D Agenda Date: Title of Contract:Apl2lication of 3M Hijzh Performance Night Vision at <br /> Central Oranffze Senior Center <br /> lf this iuu Grant Agreement,pre-application has been approved 6ythe Board of Commissioners 9euF�NuF1 If submitted for bid were <br /> hida/&FPo received YemnNoFl Bid/RFP number This contract has been reviewed and approved by the Department Director as to <br /> technical content: <br /> Department Director's Signature: Date: <br /> rect <br /> IT Di <br /> (Applicable only/n6mz6,m,ulso/hvuro purchases orrelated been zov�wedand approved hy�eInformation <br /> Trc600\ogyDi�ctoruatotcdniu�co�cmoudbzfbon�ioo�c�m����u ificadoua: <br /> *, ^ � <br /> IT Director's Signature: Date: <br /> Risk Management <br /> Include the fbOmvbng coverages: FV`Ol; c-e oto; ou|; 9p,operty; OR 8okl <br /> Contract pending receipt of Certificate o[Insurance With incorporation of Insurance provisions as shown,this contract is approved <br /> hy the Risk Manager: <br /> Risk Manager's Signature: Date: *' 0 W <br /> Financial Services <br /> �' <br /> This Cunruo is uoodkioocd iodou 6 hc Board of Conuoio�iuocm l,00��]�oE�� A budget amendment is necessary <br /> before approval l'eoE] 1Hoy( lf budget amendment is necessary,please attach to this form. This instrument has been pre-audited in the <br /> manner required bythe Local(Iovconoent Budget and Fiscal Control Act: <br /> ; <br /> Financial Services]0iredNr`mSignature: q44,u, I Date: <br /> County Attorne <br /> Approval by Board F] (Contracts $4000000 or more for goods orservices, $250.000.00 or more for construction, or any BUCC <br /> consultant contract). Approval hyMuoug out other contracts$l,000 and uhovc). Department Director approval only n(Under <br /> $l,000). This contract�uuho�o viewed approved hy�e A�ocneyuuto legal form and mut�cieucy: <br /> Attorney's Signature Date: <br /> County Manner <br /> This contract has been i d and i approved by the County Manager Y <br /> This contract has been reviewed and i for <br /> Manager's Signature: 3 <br /> rJerk to the Board <br /> Approved byBOCCuu the__.day of 20____. Submitted for Chair signature nu the__.day of 20____. <br /> Clerk's Signature: Date: <br /> Revised March 2012 <br />