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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: Kennon Craver,PLLC Party/Vendor Contact Person: Brian Ferrell Contact Phone:919-490-0500 Party/Vendor <br /> Address: 4011 University Drive, Suite 300 City Durham State:NC Zip:27707 Department:AMS Amount:not to exceed$5,000 <br /> Purpose: Southern Library Siting Due Diligence Budget Code(s):61370035-870000-10050 Vendor#692487 (N/A if new vendor) <br /> Vendor is a BOCC consultant? Yes❑No® Contract Type:(Check one)New® Renewal❑ Amendment ❑ Effective Date <br /> 12/15/2013 Approved by Board Yes❑No[] Agenda Date: Title of Contract:Brewer Property 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 This contract has been reviewed and approved by the Department Director as to <br /> technical content: <br /> Department Director's Signature: QIX4- Date: 12- 4• t3 <br /> IT irector <br /> (Applicable only to hardware/software purchases or related servic )Th' contract has been reviewed and approved by the Information <br /> Technology Director as to technical content and information techno gy specifications: <br /> IT Director's Signature: Date: <br /> Risk n a ement <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: <br /> Risk Manager's Signature: Date: la- <br /> Financial Services <br /> This Contract is condi oned upon appropriation by the Board of Commissioners Yes[dNo❑. A budget amendment is necessary <br /> before approval YesMNo❑. 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: 'f <br /> Financial Services Director's Signature: 4&4A, A .44w— Date: 1" t0 <br /> �'d l z, <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 ManagerEl"('Most other contracts$1,000 and above). Department Director approval only❑(Under <br /> $1,000). This contract has been rev' wed and a roved 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 appr ed by the County Manager Yes No❑. <br /> This contract has been Areviewed f or i a y Ch i Yes❑No❑. <br /> Manager's Signature Date: Xz--�2/j,4 <br /> Clerk to the Board <br /> Approved by BOCC on the`day of 120 Submitted for Chair signature on the_day of ,20 <br /> Clerk's Signature: Date: <br /> Revised March 2012 <br />