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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 nhuU accompany all contracts and shall b e submitted for signature in the specified above, If the Muoogc, <br /> determines the contract is not appropriate for Manager approval the shalt the contract for 80CCapproval. Contracts for <br /> � <br /> BOCC approval must be submitted through,and complete,the routing proce�s prioi to agenda review. Contracts for legal review should <br /> be completed through the legal review process prior to being routed for signature. <br /> Departmen <br /> Party/Vendor leM{Smdh u: <br /> 2211 Leah Drive City Hillsboroug State:NC Zip:27278 Department: Asset Management Services Amount, ..48,433.. 4rpose- <br /> Magistrate Office Renovations Budget Code(s): 10240320-570000 Vendor#59867 (N/A if new vendor) V���OCC <br /> consultant? Yes 0 NoEl Contract Type:(Check one)New E Renewal[] Amendment F� Effective Date. Approved by <br /> Board Yes[:]NoF_j Agenda Date: Title of Contract:Magistrate Upfits <br /> If this is a Grant Agreement,pre-application has been approved by the Board of Commissioners YesR NoF1. If submitted for bid were <br /> bido/RFpm received Yem�y� l�o�[� <br /> � � Did/RF9 number lj77O7hia contract has been reviewed and approved 6y the Department Director aoto <br /> technical content: <br /> Department Director's Signature: <br /> IT Dire to <br /> (Applicable only*o6oruivuru6q/9wpru purchases urrelated <br /> been reviewed and approved by the Information <br /> ciom�TccbuologyDi��o/uumte6mic�mu�o uudbu�oo�iuutedmn G � u <br /> lT Director's Signature: <br /> Date: <br /> � <br /> Risk Management <br /> _� <br /> Include the following coverages: �� CGL; �] Auto; FQ'wC,—0— professional; [2'Prnperty; OR No Insurance Required [l. Hold <br /> Contract pending receipt of Certificate uc Fl. With incorporation of Insurance provisions amshown,this contract isapproved <br /> by the Risk Manager: <br /> Risk Manager's Signature: Date: - <br /> Financial Services <br /> This Contract isconditioned ypon appropriation by the Board ufCommissioners YouolRu[R, A budget amendment ionecessary <br /> before approval YesE:] No[M.-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&ct: <br /> � <br /> Financial Services|�imcctur,mSignature: /� <br /> **w=� ^ Ai4_1 Date: 4 <br /> County Attorne <br /> Approval hyBoard F-1 (Contracts $9000000 pr more for goods or services, $258,000.00 or more for construction, uc any BOCC <br /> consultant contract). Approval hy Manager csr�(Most other contracts$l,000 and ubovo). Department Director approval onh/ E] (Dnder <br /> Q],8O8). This contract has been reviewed and approved by the Attorney as to legal form and sufficiency: <br /> Amiocoey`m Signature Date: *' <br /> County Manner <br /> This contract has been ic d and is approved 0 the County <br /> tur by hair <br /> This contract has been reviewed and x <br /> �Kanu��r,o8�nmomnc: ,~ <br /> Clerk to the Board <br /> Approved hyB0CCoo the day of 20____. Submitted for Chair signature oo the day nf .20___. <br /> Clerk's Signature: Date: <br /> Revised March 2012 <br />