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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: JB Tree Service Party/Vendor Contact Person: Jeff Brackett Contact Phone:(919)644-2454 Party/Vendor <br /> Address:7410 NC Hwy86North City Hillsborough State:NC Zip:27278 Department: DEAPR Amount: 5100 Purpose:FEMA <br /> Storm Debris Budget Code(s): Vendor# (N/A if new vendor) Vendor is a BOCC consultant? Yes❑No[] Contract <br /> Type:(Check one)New® Renewal❑ Amendment ❑ Effective Date Max 22,2014 Approved by Board Yes❑No[] Agenda <br /> 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: <br /> a:es��p — Date: 5 22 14- <br /> IT Director <br /> (A plicable only to hardware/software purchases or related services)This contract has been reviewed and approved by the Information <br /> Technology Director as to technical content and information technology specifications: <br /> \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 M. With incorporation of Insurance provisions as shov 7MA by the Risk Manager:Risk Manager's Signature: i - Date: 2 Q11 4 <br /> Financial Services <br /> This Contract is conditioned on appropriation by the Board of Commissioners Yes❑NoE A bud <br /> before approval Yes❑NoM.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 Bud gel and Fiscal Control Act: I �y <br /> Financial Services Director's Signature: A Date: 1 � I <br /> County Attorney <br /> Approval by Board ❑ (Contracts $90,000.00 r 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 an <br /> !7 oved by the Attorney as to legal form and sufficiency: !/ <br /> Attorney's Signature "'---- Date: <br /> �� /L,��7 <br /> County Manager <br /> This contract has been reviewed and is approved y the County Manager Yes No❑. <br /> This contract has been reviewed s for 'gn e by t Chair es❑No❑. <br /> v <br /> Manager's Signature: Date: <br /> Clerk to the Board <br /> roved by BOCC on the_day of 120 Submitted for Chair signature on the_day of ,20 <br /> Cle k's Signature: Date: <br /> Revised March 2012 <br />