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,�br3--40E� <br /> 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: Civil Consultants Party/Vendor Contact Person: Tony Whitaker Contact Phone:919-490-1645 Party/Vendor <br /> Address: 3708 Lyckan Parkway, Suite 201 City Durham State:NC Zip:27707 Department:Asset Management Services Amount: <br /> $1,400.00 Purpose: Consulting Engineer Services for Animal Service- 1601 Eubanks Road Chapel Hill Budget Code(s): 10240320- <br /> 630000 Vendor#62089 (N/A if new vendor) Vendor is a BOCC consultant? Yes ❑No® Contract Type: (Check one)New <br /> Renewal❑ Amendment ❑ Effective Date Approved by Board Yes❑No® Agenda Date: Title of Contract: <br /> Consulting Enizineering Services for Animal Services <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: 0"a, C- L`r"" Date: l t 13 <br /> IT 'r or <br /> (Applicable only to hardware/software purchases or related service his contract has been reviewed and approved by the Information <br /> Technology Director as to technical content and information tec olog specifications: <br /> IT Director's Signature: Date: <br /> isk Mana ement <br /> Include the following coverages: LKCGL; IKAuto;0 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: Date: <br /> X113 <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[Y. 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 Contro Act: <br /> Financial Services Director's Signature: Loa-1-c - 4— Date: <br /> County Attorney <br /> Approval by Board ❑ (Contracts $90,000.00 r 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 rpvie pproved by the Attorney as to legal form and sufficiency: <br /> Attorney's Signature !�' - Date: <br /> fQpty Manager <br /> This contract has been reviewed and is approved by thager Yes No❑. <br /> T his contract has been reviewed and is fo i a s❑No <br /> Manager's Signature: Date: y �� <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 />