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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: ECS Carolinas,LLP Party/Vendor Contact Person: Nathan Nallainathan,P.E. Contact Phone:919-861-9910 <br /> Party/Vendor Address:9001 Glenwood Ave City Ralei State:NC Zip:27617 Department:AMS Amount:Not to exceed$7,600 <br /> Purpose:County Jail Site ESA Phase 1 Geotech Study,Utility, Capacity Study Budget Code(s):61370035-870000-10051 Vendor# <br /> 56914 (N/A if new vendor) Vendor is a BOCC consultant? Yes❑No® Contract Type:(Check one)New® Renewal❑ <br /> Amendment ❑ Effective Date 11/1/13 Approved by Board Yes[:]No® Agenda Date: Title of Contract:Jail Site ESA <br /> Study <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 5171, 5169. 5173This contract has been reviewed and approved by the Department <br /> Director as to technical content: <br /> Department Director's Signature: �c�.�--- Date: f( •t -9 <br /> IT Di or <br /> (Applicable only to hardware/software purchases or related services) is contract has been reviewed and approved by the Information <br /> Technology Director as to technical content and information tec o 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 ❑. With incorporation of Insurance provisions as shown,this contract is approved <br /> by the Risk Manager: /} <br /> Risk Manager's Signature: ( / Date: 12A h <br /> II�Z� <br /> Financial Services <br /> This Contract is conditioned on appropriation by the Board of Commissioners Yes❑No . A budget amendment is necessary <br /> before approval Yes❑No[VIf 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: C&44-,L— A- A'll'�l 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 Xost other contracts$1,000 and above). Department Director approval only❑(Under <br /> $1,000). This contract has been reviewed pproved 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 ap ved by the gounty,Manager YesL No❑. <br /> This contract has been review f r ign e b e C i Yes❑No❑. <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 20 <br /> Clerk's Signature: Date: <br /> Revised March 2012 <br />