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-E5 y <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: Advanced Sealcoating Party/Vendor Contact Person: Dan Stark Contact Phone:919-844-2257 Party/Vendor <br /> Address: 8804 Erinsbrook Drive City Ralei State:NC Zip:27617 Department:Asset Management Services Amount: $6,800 <br /> Purpose:Paint and stencil parking spaces at Eno River Parking Deck West Campus Library,West Campus Offices and Gateway Budget <br /> Code(s): 10240120-570525 Vendor#59959 (N/A if new vendor) Vendor is a BOCC consultant? Yes ❑No® Contract Type: <br /> (Check one)New® Renewal❑ Amendment ❑ Effective Date May 20,2014 Approved by Board Yes❑No® Agenda Date: <br /> 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❑Non 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: 5 23-t <br /> I it for <br /> (Applicable only to hardware/software purchases or related servic This contract has been reviewed and approved by the Information <br /> Technology Director as to technical content and information tec olo specifications: <br /> IT Director's Signature: Date: <br /> Risk Manaeement <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 s&Qn is-W <br /> by the Risk Manager: O U <br /> Risk Manager's Signature: (�-e�- '�"' v Date: z MAY 27 2014 <br /> Financial Services By <br /> This Contract is conditioneddypon appropriation by the Board of Commissioners Yes❑Now A bu <br /> before approval Yes❑NoIf 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: � � 1 q <br /> Financial Services Director's Signature: <br /> l�Wl�l�i GV ,U" JU AtAj Date: 5I -t <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 Manager (Most other contracts$1,000 and above). Department Director approval only❑ (Under <br /> $1,000). This contract has been reviewed and a ved by the Attorney as to legal form and sufficiency: <br /> Attorney's Signature Date: �� <br /> County ManaEer� <br /> This contract has been revieZ!g y the County Manager Yes o❑. <br /> This contract has been reviere Yh Yes❑No❑. <br /> Manager's Signature: Date: Z/4 J� 4 <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 />