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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: Hillsborough Plumbing Party/Vendor Contact Person: Rob McKee Contact Phone: 919-732-4506 Party/Vendor <br /> Address: 1020 Highway 57 North, City Hillsborough State:NC Zip:27278 Department:Asset Management Services Amount: <br /> $9,805.00 Purpose:R E Whitted Building/300 W Trvon Road Hillsborough.NC: Break Sink and Casework Installed Budget Code(s): <br /> 61-370035-892000-30012 Vendor#58196 (N/A if new vendor) Vendor is a BOCC consultant? Yes❑No® Contract Type: <br /> (Check one)New® Renewal❑ Amendment ❑ Effective Date Janaury 10,2014 Approved by Board Yes❑No® Agenda <br /> Date: 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: <br /> /��—'� Date: o . <br /> IT Director <br /> (Applicable only to hardware/software purchases or related serv.ces)This contract has been reviewed and approved by the Information <br /> Technology Director as to technical content and information a ology specifications: <br /> IT Director's Signature: r Date: <br /> Risk Management <br /> Include the following coverages: ® CGL; ❑ Auto; ❑ WC; ❑ Professional; ❑ Property; OR No Insurance Required El. 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: n <br /> Risk Manager's Signature: Date: 1.14 511Z 5t <br /> Ii1�l� <br /> Financial Services <br /> This Contract is condi oned upon appropriation by the Board of Commissioners Yes&E]. A budget amendment is necessary <br /> before approval Yes No❑. 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 Bud g t and Fiscal Con of Ac <br /> Financial Services Director's Signature: Date: l <br /> 1( 1alig. <br /> County Attorney <br /> Approval by Board ❑ (Contracts $90,000.00 o 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 ee review and a proved by the Attorney as to legal form and sufficiency: <br /> Attorney's Signature Date: 1 <br /> County Manager <br /> This contract has been reviewed and is rov by the County Manager Yes No❑. <br /> This contract has been reviewe r si ture e it s❑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 />