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X13-1t�D� <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: Landmark Surveying, Inc. Party/Vendor Contact Person: Douglas Yarborough. Contact Phone: (336) 229-6275. <br /> Party/Vendor Address: 109 East Harden Street. City Graham. State: NC Zip: 27253 Department: DEAPR Amount: $3,930 Purpose: <br /> Boundary survey and plat for Bliss-Dobyns conservation easement (35 acres). Budget Code(s): 61370035 870000 20006 Vendor # <br /> 44120 (N/A if new vendor) Vendor is a BOCC consultant? Yes ❑ No® Contract Type: (Check one) New ® Renewal ❑ <br /> Amendment ❑ Effective Date November 1,2013. <br /> If this is a Grant Agreement, pre-application has been approved by the Board of Commissioners Yes No If submitted for bid <br /> were bids/RFPs received Yes® No❑. Bid/RFP number This contract has been reviewed and approved by the Department <br /> Director as to technical content: <br /> Department Director's Signature: Date: 6125 JR <br /> IT Director <br /> (Applic le only to hardware/software pu ases or related services)This co act has been reviewed an pproved by the formation <br /> Technolo Director as to technical content a information technology specifics <br /> IT Director's Sig ture: <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: .0 Date: <br /> Financial Services <br /> This Contract is conditioned u on appropriation by the Board of Commissioners Yes❑NoQ� A budget amendment is necessary <br /> before approval Yes❑ Noy.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: j /a, Date: <br /> «(ilia <br /> County Attorney <br /> Approval by Board ❑ (Contracts over $25,000.00 or any BOCC consultant contract). Approval by Manager All contracts <br /> $25,000.00 or less with the exception of BOCC consultants). This contract has been reviewed and approved by the Attorney as to legal <br /> form and sufficiency: > <br /> Attorney's Signature / ! - Date: <br /> County Manager <br /> This contract has been reviewed and is appro ed by the Coun Man er Yes vo�❑. <br /> This contract has been reviewed d i to b ubm' e fo C c sideration Yes❑No❑. <br /> v <br /> Manager's Signature: Date: / f <br /> Clerk to the Board <br /> Approved by Board Yes❑No❑ Agenda Date: <br /> Clerk's Signature: Date: <br />