Orange County NC Website
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: Triangle Landscaping Party/Vendor Contact Person: Brad Lewis Contact Phone:919-529-4901 Party/Vendor <br /> Address:P.O.Box 144 City Stem State:NC Zip:27581 Department:Asset Management Amount:$23,418.75 Purpose: Sidewalk <br /> Repair at Richard E.Whitted Building-300 W.Tryon Street,Hillsborough,NC 27278 Budget Code(s):61370035-880000-10028 <br /> Vendor 9 62218 (N/A if new vendor) Vendor is a BOCC consultant? Yes ❑No® Contract Type:(Check one)New® Renewal <br /> ❑ Amendment ❑ Effective Date May 26,2014 Approved by Board 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: Ll —_1:– Date: <br /> Ikirector <br /> (Applicable onl y to hardware/software purchases or related sercontract has been reviewed and approved by the Information <br /> Technology Director as to technical content and information tec ecifications: <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 sho <br /> by the Risk Manager: D 7n <br /> Risk Manager's Signature: ( r. Date: � MAY 2 0 2014 <br /> Financial Services <br /> This Contract is conditioned pon appropriation by the Board of Commissioners Yes❑Nod A bu <br /> before approval Yes❑ No[o.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- , I <br /> Financial Services Director's Signature: �� .E�"'�� Date: 2 <br /> 5120 <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 approftd by the Attorney as to legal form and sufficiency: <br /> Attorney's Signature Date: . <br /> County Manager <br /> This contract has been reviewed and ' a ove the County ager YesQ'Flo❑. <br /> This contract has been reviewed is f si a re b t Ch ' e 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 />