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ORANGE COUNTY—CONTRACT CONTROL SHEET S] .No , Z3 <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 /> o be completed through the legal review process prior to being routed for signature. <br /> ugoou Department <br /> Party/Vendor Name: Energie Innovation,Inc. Party/Vendor Contact Person: Ive Baljak Contact Phone: 514-334-3783 Party/Vendor <br /> Address:2970 Halpern Street City St-L te: Quebec(Canada) Zip:H45 1R2 Department:AMS Amount: $49,780 Purpose: <br /> Low Emissivity Ceiling installation, �es get Code(s):to be determined in budget amendment Vendor#N/A (N/A if new <br /> vendor) Vendor is a BOCC consulto® Contract Type: (Check one)New® Renewal❑ Amendment ❑ Effective <br /> Date date of execution 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 367-1600This contract has been reviewed and approved by the Department Director <br /> as to 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: Date: <br /> Risk Management <br /> Include the following coverages: B'CGL; ['Auto; El-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: <br /> Risk Manager's Signature: P"K Date: <br /> Financial Services <br /> This Contract is conditioned upon appropriation by the Board of Commissioners Yes❑No A budget amendment is necessary <br /> before approval Yes❑Nom. If budget amendment is necessary,please attach to this form. Th s 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: V �. 4W,.+ Date: <br /> County Attorney <br /> Approval by Board ❑ (Contracts over $90,000.00 for goods or services, $250,000.00 for construction, or any BOCC consultant <br /> contract). Approval by Manager�All other contracts). This contract has been reviewed and approved by the Attorney as to legal <br /> form and sufficiency: <br /> Attorney's Signature Date: <br /> County Manager <br /> This contract has been reviewed and is approved by the County 11anager Y RffNo❑. � L) <br /> This contract has been reviewed and is to be submitte for BO c sideration Yes❑No .� �-7)Manager's Signature: Date: ^ <br /> Xerk to the Board <br /> Approved by BOCC on the day of ,20 1 Submitted for C afore on the day of 920 <br /> Clerk's Signature: Date: <br /> Revised April 2010 <br />