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4e <br /> ORANGE COUNTY—CONTRACT CONTROL SHEET <br /> g ri Or er: 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: Springsted Inc Party/Vendor Contact Person: John Ansivino Contact Phone:PH:804.726.9750 Party/Vendor <br /> Address: 1564 East Parham Road Richmond,VA 23228 City State: Zip: Department: BOCC Amount:24,500 <br /> Purpose: Budget Code(s): Vendor# (N/A if new vendor) Vendor is a BOCC consultant? Yes ®No[:] Contract <br /> Type: (Check one)New® Renewal ❑ Amendment ❑ Effective Date 11/5/2013 Approved by Board Yes®No❑ Agenda <br /> Date: 11/5/2013 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: Date: �� <br /> IT Director <br /> (Applicable only to hardware/software purchases or related 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: 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 El. With incorporation of Insurance provisions as shown,this contract is approved <br /> by the Risk Manager: //�� <br /> Risk Manager's Signature: oli Date: ) <br /> Financial Services <br /> This Contract is conditioned ypon appropriation by the Board of Commissioners Yes❑Noy A budget amendment is necessary <br /> before approval Yes❑No ff 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: 1d'"""° Date: 111 510 <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:77 ewed an app ved by the Attorney as to legal form and sufficiency: <br /> Attorney's Signature Date: <br /> County Manager <br /> This contract has been reviewed and ' app e y the o my ag Yesl!j No❑. <br /> This contract has been reviewe is for g t re b h Ch es o❑. <br /> Manager's Signature: Date: <br /> Clerk to the Board <br /> Approved by BOCC on the day of 20 . Submitted for Chair signature on the day of 120 <br /> Clerk's Signature: Date: <br /> Revised March 2012 <br />