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02011 E - Ztjb <br /> 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: Mark Hall Electric,Inc. Party/Vendor Contact Person: Mark Hall Contact Phone: 336-570-0158 Party/Vendor <br /> Address: P.O.Box 218 City Alamance State:NC Zip:27201 Department: Asset Management Services Amount: $3,560. Purpose: <br /> West Cqpus Office Buiding• Core Drill thru 3 floors to run 2 1/2"conduit from the 3rd floor basement Budget Code(s): 10240320- <br /> 570000 Vendor#62430 (N/A if new vendor) Vendor is a BOCC consultant? Yes❑No® Contract Type: (Check one)New <br /> Renewal❑ Amendment ❑ Effective Date April 21,2014 Approved by Board Yes❑NoZ Agenda Date: Title of <br /> 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: �r Date: <br /> Khnogy tor <br /> (Applicable only to hardware/software purchases or related se his contract has been reviewed and approved by the Information <br /> Technology Director as to technical content and information to specificatio ns: <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 show ,D Mc� #� Apr <br /> by the Risk Manager: ; u u <br /> Risk Manager's Signature: (� iJ -cam —� Date: Z APR 2 4 2914 <br /> Financial Services By <br /> This Contract is conditione on appropriation by the Board of Commissioners Yes❑ .No A bud <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 Budget and Fiscal Control Act: A Financial Services Director's Signature: F L ,1_ �' v�J, It'd Date: <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-En-Most other contracts$1,000 and above). Department Director approval only❑ (Under <br /> $1,000). This contract has been reviewed pproved by the Attorney as to legal form and sufficiency: <br /> Attorney's Signature - Date: S,` /sr <br /> County Manager <br /> This contract has been reviewed and is app o e the County M er Yes[ ' Io❑. <br /> This contract has been reviewed fo gn e C it ❑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 />