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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: Harris Bros.Electric&Control,Inc. Party/Vendor Contact Person: Chris Harris Contact Phone: 919-220-8500 <br /> Party/Vendor Address:2712 Hillsborough,Road City Durham State:NC Zip:27705 Department: Asset Management Services <br /> Amount: $1,296.00 Purpose: Replace Battery back up ballast at West Campus Library- 131 W Margaret Lane Hillsborough NC <br /> Budget Code(s): 10240320-570000 Vendor#55477 (N/A if new vendor) Vendor is a BOCC consultant? Yes ❑No® Contract <br /> Type: (Check one)New ® Renewal❑ Amendment ❑ Effective Date September 16,2012 Approved by Board Yes❑No® <br /> Agenda Date: Title of Contract: <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: x- Date: <br /> IT ector <br /> (Applicable only to hardware/software purchases or related serv' e This contract has been reviewed and approved by the Information <br /> Technology Director as to technical content and information to of gy specifications: <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 E]. With incorporation of Insurance provisions as shown, this contract is approved <br /> by the Risk Manager: ('-e"40N cA& A44." p <br /> Risk Manager's Signature: / 3 <br /> 1�--fl l� <br /> Financial Services <br /> This Contract is conditione�pon appropriation by the Board of Commissioners Yes❑No[1/� 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 Government Budget and Fiscal Control Act: <br /> Financial Services Director's Signature: Ma4n ce., Date: <br /> 9 izo <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 Managerost other contracts$1,000 and above). Department Director approval only ❑ (Under <br /> $1,000). This contract has been reviewed proved by the Attorney as to legal form and sufficiency: <br /> Attorney's Signatures Date: <br /> County Manager <br /> This contract has been reviewed and is approved by the County Manager Yes /Non. <br /> This contract has been reviewed and is fomw��' Yes❑No <br /> Manager's Signature: Date: Z S�/ J <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 />