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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: State Contracting Party/Vendor Contact Person: Deborah Todd Contact Phone:919-453-2755 Party/Vendor <br /> Address:P.O.Box 1934 City Wake Forest State:NC Zip:27588 Department: Asset Management Services Amount: $56,280.00 <br /> Purpose:Asphalt Patine Milling and Overlay at 144 E.Margaret Lane,Hillsborough,NC 27278 Budget Code(s): 61370035-880000- <br /> 30018 Vendor#62513 (N/A if new vendor) Vendor is a BOCC consultant? Yes❑No® Contract Type:(Check one)New <br /> Renewal ❑ Amendment ❑ Effective Date June 9,2014 Approved by Board Yes❑No❑ Agenda Date: Title of <br /> 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: 6. ?- 1 4 <br /> I rector <br /> (Applicable only to hardware/software purchases or related se ry es)This contract has been reviewed and approved by the Information <br /> Technology Director as to technical content and information t logy specifications: <br /> IT Director's Signature: Date: <br /> Risk Management <br /> Include the following coverages: ❑ CGL; ❑ Auto; ❑ WC; ❑ Professional; ❑ Property; OR No In <br /> Contract pending receipt of Certificate of Insurance E]. With incorporation of Insurance provisions as sho s n cis <br /> by the Risk Manager: <br /> / JUN - 4 2014 <br /> Risk Manager's Signature: 1. Date: <br /> c,ly ay <br /> Financial Services <br /> This Contract is conditioned ylSon appropriation by the Board of Commissioners Yes❑No A budget amendment is necessary <br /> before approval Yes❑NoLV. 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 et and Fiscal Contro ct: <br /> YaFinancial Services Director's Signature: *- 4�-e_ Date: Iqlly <br /> County Attorney <br /> Approval by Board ❑ (Contracts $90,000.00 9.r more for goods or services, $250,000.00 or more for construction, or any BOCC <br /> consultant contract). Approval by Managerost other contracts$1,000 and above). Department Director approval only❑(Under <br /> $1,000). This contract has been rvvievod and approved by the Attorney as to legal form and sufficiency: <br /> Attorney's Signature -° Date: Z:l—" <br /> County Manager <br /> This contract has been reviewed and is ap ov by e County Manager Yes 1V <br /> This contract has been reviewed and i si tur y air DNoo. <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 />