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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: Lomax Construction Company,Inc. Party/Vendor Contact Person: Rich Taylor Contact Phone: 336-992-7000, <br /> x101 Party/Vendor Address: PO Box 35169 City Greensboro State:NC Zip: 27425 Department: AMS Amount: $5,331.00 Purpose: <br /> Proposed Chanpe Order#1-Carpet in lieu of VCT;additional de-construction scope Budget Code(s): 61370035-880000-10028 Vendor <br /> #62290 (N/A if new vendor) Vendor is a BOCC consultant? Yes ❑No® Contract Type: (Check one)New ❑ Renewal ❑ <br /> Amendment ® Effective Date 1/15/14 Approved by Board Yes®No❑ Agenda Date: 12/10/13 Title of Contract: Whitted <br /> Meeting Room <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 1218This contract has been reviewed and approved by the Department Director as to <br /> technical content: <br /> Department Director's Signature: f! Date: <br /> IT Director <br /> (Applicable only to hardware/software purchases or related servic )This contract has been reviewed and approved by the Information <br /> Technology Director as to technical content and information ch logy 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 E]. With incorporation of Insurance provisions as sho <br /> by the Risk Manager: 8 <br /> Risk Manager's Signature: Date: cluz 9 z <br /> Financial Services Q <br /> This Contract is conditioned upon appropriation by the Board of Commissioners Yes❑No Vd. Abu <br /> before approval Yes❑ NoF#j. 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 Get_and•Fiscal Control Act: <br /> Financial Services Director's Signature: A Ax-, Date: 2-12111y <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„a(Most other contracts $1,000 and above). Department Director approval only ❑ (Under <br /> $1,000). This contract has been viewer nd a proved by the Attorney as to legal form and sufficiency: <br /> •/Z�4 <br /> Attorney's Signature Date: <br /> County Manager <br /> This contract has been reviewed aVisa ro by the Co my Manager Yes o❑.This contract has been reviewed si ture b t Ch es 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 />