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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: EHG(Environmental Holding Group Party/Vendor Contact Person: Brian Sanders Contact Phone: 919-544-6790 <br /> Party/Vend s: 190 Kitty Hawk Drive City Morrisville State:NC Zip:27560 Department:Asset Management Services <br /> Amoun 3 000 e:The abatement of TSI from the Jail- I"floor: as outlined in the attached proposal#13-65-5501 dated 5/23/13 <br /> Budg 0240320-570000 Vendor#57474 (N/A if new vendor) Vendor is a BOCC consultant? Yes ❑No® Contract <br /> Type: (Check one)New ® Renewal❑ Amendment ❑ Effective Date Approved by Board Yes❑No® Agenda Date: <br /> Title of Contract:Abatement of TSI from the Jail <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: '–' Date: �0 Z? 13 <br /> IT it for <br /> (Applicable only to hardware/software purchases or related se This contract has been reviewed and approved by the Information <br /> Technology Director as to technical content and information t olo y specifications: <br /> IT Director's Signature: Date: <br /> ]Risk Management <br /> Include the following coverages: [fCGL; V Auto; WWC, ❑ Professional; [Property; OR No Insurance Required F. 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: Date: '711 113 <br /> CSC.. is <br /> Zia <br /> Financial Services <br /> This Contract is conditioned on appropriation by the Board of Commissioners Yes❑No� A budget amendment is necessary <br /> before approval Yes[:] No[TIf 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 Act:: <br /> Financial Services Director's Signature: V L �r w IV— Date: � 1 �3 <br /> County Attorney <br /> Approval by Board ❑ (Contracts $90,000.0qldf more for goods or services, $250,000.00 or more for construction, or any BOCC <br /> consultant contract). Approval by Manager 7(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: <br /> County Manager <br /> This contract has been reviewed and is approved by the County Manager YesnNo❑. <br /> This contract has been reviewed and is for signature by the Cha' Yes❑NoE]! <br /> Manager's Signature: Date: 7 <br /> Cl/to the Board <br /> Approved by BOCC on the_day of 120 Submitted for Chair signature on the_day of 20 <br /> Clerk's Signature: Date: <br /> Revised March 2012 <br />