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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: Baker Roofing_Company Party/Vendor Contact Person: Jeff Spady Contact Phone: 919-416-4715 Party/Vendor <br /> Address: 517 Mercury Street(PO Box 26057) City Raleigh State:NC Zip: 27611 Department: AMS Amount: $27,621.46 Purpose: <br /> Change Order#1 Pool Rof Replacement Budget Code(s): 53530030-800000 Vendor#54603 (N/A if new vendor) Vendor is a <br /> BOCC consultant? Yes❑No® Contract Type: (Check one)New® Renewal ❑ Amendment ❑ Effective Date 11/15/2013 <br /> Approved by Board Yes❑No❑ Agenda Date: Title of Contract: S orts lex Pool Roof <br /> If this is a Grant Agreement, pre-application has been approved by the Board of Commissioners Yes❑NoEl 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: w Date: <br /> Director <br /> (Applicable only to hardware,/software purchases or related servi s)This ontract has been reviewed and approved by the Information <br /> Technology Director as to technical content and information techno gy pecifications: <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: <br /> Financial Services <br /> This Contract is conditioned Won appropriation by the Board of Commissioners Yes❑NoE/ A budget amendment is necessary <br /> before approval Yes❑Nolf 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: ' �� Date: �� 1_4I 13 <br /> IZI3 <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 been reviewed and approved by the Attorney as to legal form and sufficiency: <br /> Attorney's Signature Date: <br /> County Manager <br /> This contract has been reviewed and i pproved by the County Manager Yes[]No❑. <br /> This contract has been review nd r s'gnat by h r 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 />