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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: Owens Roofing Party/Vendor Contact Person: Bert Owen Contact Phone:919-821-0082 Party/Vendor Address: <br /> 301 W.Cabarrus Street City Ralei h State:NC Zip:27601 Department:Asset Management Services Amount: $3,390 Purpose: <br /> Change Order#1 Roof Replacement at Court Street Annex/Battle Courtroom: Finish and install four scuppers to include condductor <br /> heads and downspouts Budget Code(s):61370035-870000-3002 Vendor#40199 (N/A if new vendor) Vendor is a BOCC consultant? <br /> Yes❑No® Contract Type:(Check one)New❑ Renewal❑ Amendment ® Effective Date January 8,2014 Approved by Board <br /> Yes❑No® Agenda 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: a..,1,1r!!!7 Date: <br /> _/ I rector <br /> (Applicable only to hardware/software purchases or related se i s)This contract has been reviewed and approved by the Information <br /> Technology Director as to technical content and information to o gy specifications: <br /> IT Director's Signature: Date: <br /> Risk Manauement <br /> Include the following coverages: ❑ CGL; ❑ Auto; ❑ WC; ❑ Professional; ❑ Property; OR No Insurance Required ❑. Hold <br /> Contract pending receipt of Certificate of Insurance El. With incorporation of Insurance provisions as sho <br /> by the Risk Manager: n D <br /> Risk Manager's Signature: J Date: APR 2 4 2114 <br /> Financial Services <br /> This Contract is conditioned Oon appropriation by the Board of Commissioners Yes❑NoE A bu g <br /> before approval Yes❑Noa. 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: <br /> Financial Services Director's Signature: i/t�t�L f,. Date: � z4) <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®°(Most other contracts$1,000 and above). Department Director approval only❑(Under <br /> $1,000). This contract has been reviewed and approved 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 pp o e the CountylManager Yeso/❑. <br /> This contract has been reviewed a s fo re Ill. r s❑No❑. <br /> Manager's Signature: Dat : <br /> Clerk to the Board <br /> Approved by BOCC on the i day of 20 . Submitted for Chair signature on the_day of 120 <br /> Clerk's Signature: Date: <br /> Revised March 2012 <br />