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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: Intellicom,Inc. Party/Vendor Contact Person: Mark Vaughan Contact Phone: 919-957-1949 Party/Vendor <br /> Address: 2902 S.Miami Blvd., Ste. C City Durham State:NC Zip:27703 Department: Asset Management Services Amount: <br /> $8,510.00 Purpose:Magistrate's Office Renovation-scope of work to be performed as outlined in the attached proposal dated May 27 <br /> 2013 Budget Code(s): 10240320-570000 Vendor#44533 (N/A if new vendor) Vendor is a BOCC consultant? Yes ❑No® <br /> Contract Type: (Check one)New® Renewal❑ Amendment ❑ Effective Date June 28,2013 Approved by Board Yes❑No® <br /> Agenda Date: Title of Contract: Voice and Data Cabling for Magistrate's Office Renovation <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: �Lww-' Date: Z 11 i3 <br /> XDire(Applicable only to hardware/software purchases or related secontract has been reviewed and approved by the Information <br /> Technology Director as to technical content and information tecifications: <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: C/v'--�-- �, ✓ Date: p 1� <br /> Financial Services <br /> This Contract is conditioned Won appropriation by the Board of Commissioners Yes❑No A budget amendment is necessary <br /> before approval Yes❑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 Budgit and Fiscal Control Act- <br /> Financial l <br /> Financial Services Director's Signature: W( �L_ /' `" Date: <br /> County Attorney <br /> Approval by Board ❑ (Contracts $90,000.00.,-or more for goods or services, $250,000.00 or more for construction, or any BOCC <br /> consultant contract). Approval by Manager�(Most other contracts$1,000 and above). Department Director approval only❑ (Under <br /> $1,000). This contract has been reviewed and approved by the Attorney as to legal form and sufficiency: <br /> Attorney's Signature Date: S-�3 <br /> County Manager <br /> This contract has been reviewed and is approved by the County Manager Yes[�o❑. <br /> This contract has been reviewed and is for signature by the hair Yes❑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 />