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4 - Z5 1, <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: King Brothers Party/Vendor Contact Person: Blake King Contact Phone:919-682-3489 Party/Vendor Address: <br /> 1701 Camden Avenue City Durham State:NC Zip:27704 Department:Asset Management Services Amount: $775.00 Purpose: West <br /> Campus Office Building- 131 W. Margaret Lane,Hillsborough NC 27278: Re-work two locations on brick sidewalk in order to keep <br /> water from pudding Budget Code(s): 10240020-570000 Vendor#56938 (N/A if new vendor) Vendor is a BOCC consultant? Yes <br /> ❑No® Contract Type: (Check one)New® Renewal ❑ Amendment ❑ Effective Date May 26,2014 Approved by Board Yes <br /> ❑Non 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: C Date: <br /> I ector <br /> (Applicable only to hardware/software purchases or related se c This contract has been reviewed and approved by the Information <br /> Technology Director as to technical content and information ethnology 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 ❑. With incorporation of Insurance provisions ass <br /> by the Risk Manager: D <br /> Risk Manager's Signature: G�f- G °S Dater 1 MAY `L-7 2014 <br /> Financial Services <br /> This Contract is conditioned Won appropriation by the Board of Commissioners Yes❑Now A b <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 and Fiscal Control Act: <br /> Vl. <br /> Financial Services Director's Signature: a,y,ti,w A-K— 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❑ (Most other contracts$1,000 and above). Department Director approval onl (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 apIXoved by the County Manager Yesp'No❑. <br /> This contract has been reviewed a s lo si re by t Cha' Ye Non. <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 />