Orange County NC Website
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: Bullock's Hardware Party/Vendor Contact Person: Bobby Bullock Contact Phone:— Party/Vendor Address: <br /> P.O.Box 152 City Stem State:NC Zip: 27581 Department:Asset Management Services Amount: $3,146 Purpose:Patch, Sand and <br /> Finish Floors at Magistrate's Office Renovation Budget Code(s): 10240320-570000 Vendor#61598 (N/A if new vendor) Vendor is a <br /> BOCC consultant? Yes❑NoE Contract Type: (Check one)New[0 Renewal❑ Amendment ❑ Effective Date July 8,2013 <br /> Approved by Board Yes❑NoE Agenda Date: Title of Contract:Hardwood Floor Maintenance at Magistrate's Office <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 /> ntent' <br /> Department Director's Signature: Date: �Szf- I3 <br /> i ector <br /> (Applicable only to hardwarelsoftware purchases or related servic S This contract has been reviewed and approved by the Information <br /> Technology Director as to technical content and information to olog specifications: <br /> IT Director's Signature: Date: <br /> Risk Manazement <br /> Include the following coverages: 1rC71rCGL; [Auto; WC; F-1 Professional; E3"'Property; OR No Insurance Require ❑ 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: t^ Date: -11,113 <br /> Financial Services <br /> This Contract is conditioned upon appropriation by the Board of Commissioners Yes❑NoER/ 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 Goverment Budget and Fiscal Conpol Act: <br /> Financial Services Director's Signature: LA 441C­1 Date: '711t1_3 <br /> County Attorney <br /> Approval by Board ❑ (Contracts $90,000.00 more for goods or services, $250,000.00 or more for construction, or any BOCC <br /> consultant contract). Approval by Manager 40st other contracts$1,000 and above). Department Director approval only❑(Under <br /> $1,000). This contract has been r iewed proved by the Attorney as to legal form and sufficiency: <br /> Attorney's Signature Date: <br /> County Manager <br /> This contract has been reviewed and is approved by the County Manager Yes,211NOE]. <br /> This contract has been reviewed and is for signature by the Chair YesF_jN0i!j_ <br /> 0iManager's Signature: ("In Date: <br /> Clerk to the Board <br /> Approved by BOCC on the—day of ,r27,O . Submitted for Chair signature on the day of 20—. <br /> Clerk's Signature: Date: <br /> Revised March 2012 <br />