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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: Sparkman Construction Party/Vendor Contact Person: Billy Sparkman Contact Phone:919-369-8310 <br /> Party/Vendor Address: 11224 Conley Cove Court City Raleigh State:NC Zip:27613 Department:Asset Management Services <br /> Amount: $39.805 Purpose:Health Department Renovation at Southern Human Services Center 2501 Homestead Road Cha ep 1 Hill <br /> Budget Code(s): 61370035-892000-10027 Vendor#62304 (N/A if new vendor) Vendor is a BOCC consultant? Yes ❑No® <br /> Contract Type: (Check one)New® Renewal❑ Amendment ❑ Effective Date OlRew 2014 Approved by Board Yes®No <br /> ❑ Agenda Date: 12/6/2013 Title of Contract:Bid#1677-Southern Human Services Center Upfit <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 1677This contract has been reviewed and approved by the Department Director as to <br /> technical content: <br /> Department Director's Signature: �"�� Date: <br /> XIT * tor <br /> (Applicab le only to hardware/software purchases or related seis contract has been reviewed and approved by the Information <br /> Technology Director as to technical content and information tespecifications: <br /> IT Director's Signature: Date: <br /> Risk Management <br /> Include the following coverages: ❑ CGL; ❑ Auto; ❑ WC; ❑ Professional; ❑ Property; OR No Insurance Required E]. Hold <br /> Contract pending receipt of Certificate of Insurance E]. With incorporation of Insurance provisions as shTAPR c Z <br /> by the Risk Manager:Risk Manager's Signature: ae. l'a—•—' Date: 7 <br /> Financial Services LB <br /> This Contract is conditioned on appropriation by the Board of Commissioners Yes❑Nod A bu <br /> before approval Yes❑Noy. 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 aannd�Fiscal Control Act: <br /> Financial Services Director's Signature: /J'1.___— Date: !/� S�ry <br /> 11� <br /> County Attorney <br /> Approval by Board ❑ (Contracts $90,000.00 more for goods or services, $250,000.00 or more for construction, or any BOCC <br /> consultant contract). Approval by Manageros. e contracts$1,000 and above). Department Director approval only❑ (Under <br /> $1,000). This contract has been revi ed a roved b e Attorney as to legal form and sufficiency: <br /> Attorney's Signature — Date: '" _ J <br /> County Manager <br /> This contract has been reviewed and is ap roe b e County anager Yes No❑. <br /> This contract has been reviewed and' r s' a y t h ' Y o❑. <br /> Manager's Signature: Date: <br /> '41�( <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 />