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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: NCDENR Party/Vendor Contact Person: Robert Taylor Contact Phone: 919-968-2788 Party/Vendor Address: <br /> 1639 Mail Service Center City Raleigh State:NC Zip: 27699 Department: Division of Environmental Assistance Amount: 30,000 <br /> Purpose: Grant for Recycling Compactor-Eubanks Road Convenience Center Improvement Budget Code(s): Vendor# <br /> (N/A if new vendor) Vendor is a BOCC consultant? Yes ❑Noo Contract Type: (Check one)New® Renewal❑ Amendment <br /> ❑ Effective Date July 1,2014 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: Date: — <br /> IT Director <br /> (Applicable 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 /> IT Director's Signature: NZ 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 shown, this contract is approved <br /> by the Risk Manager: �r <br /> Risk Manager's Signature: Ovxe� S 44L— Date: <br /> Financial Services <br /> This Contract is conditioned/pon appropriation by the Board of Commissioners Yes❑NoN( A budget amendment is necessary <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 Budget and Fiscal Control Act: <br /> Financial Services Director's Signature: �G A. 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 only ❑ (Under <br /> $1,000). This contract has been rev' wed and a roved 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 ap roved by the County Manager Yes[KIo❑. <br /> This contract has been reviewed and is f si at re by th Cha' Ye No❑. <br /> C_Manager's Signature: Date:Z2 <br /> Clerk to the Board <br /> Approved by BOCC on the_day of ,20 . Submitted for Chair signature on the_day of 120 <br /> Clerk's Signature: Date: <br /> Revised March 2012 <br />