Orange County NC Website
x,013-" <br /> CS �LD`3Ibkt 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: Phillips&Jordan Party/Vendor Contact Person: Edd Satterfield Contact P 28-4 -3371 Party/Vendor <br /> Address: P&J Road City Robbinsville State:NC Zip: 28771 Department: Solid Waste A t: _ P e: Removal,Reduction, <br /> Recycling and/or Disposal of Debris Budget Code(s): Vendor#N/A (N/A if new v or is a BOCC consultant? Yes <br /> ❑No® Contract Type: (Check one)New® Renewal❑ Amendment ❑ Effective Date Jully 1,2013 Approved by Board Yes® <br /> No❑ Agenda Date: June 18,2013 Title of Contract:Removal,Reduction,Recyclign and/or Disposal of Debris <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 5193This contract has been reviewed and approved by the Department Director as to <br /> technical content: <br /> Department Director's Signature: Cia aQaan�,_ Date:7—I5 <br /> IT Director <br /> (Applicable only to hardware/software purchases or r lated services)This contract has been reviewed and approved by the Information <br /> Technology Director as to technical content and information technology specifications: <br /> IT Director's Signature: 'od - Date: <br /> Risk Management <br /> Include the following coverages: [v`CGL; Auto; WC; rofessional; ❑ 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: �• Date: 4LE <br /> Financial Services <br /> This Contract is conditioned on appropriation by the Board of Commissioners Yes❑NoR./ A budget amendment is necessary <br /> before approval Yes❑No[gIf 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 /> g <br /> Financial Services Director's Signature: q"411 ,4, Al.- Date:: �L <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 re ewed approve 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 Ye No❑. <br /> This contract has been reviewed and is for signat by the C Ye o❑. <br /> Manager's Signature: Date: <br /> jam/ Cle o the Board <br /> Approved by BOCC on the / 4 day of 0 Submitted for Chair signature on the, day of ,20 <br /> Clerk's Signature: Date: 71 <br /> Revised March 2012 <br />