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0 i3 <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: Landfill Services Party/Vendor Contact Person: Joel Lantz Contact Phone: 607-625-3050 Party/Vendor Address: <br /> 2183 Pennsylvania Avenue City Apalachina State:New York Zip: 13732 Department: Solid Waste Management Amount: 5,200/Mo <br /> Purpose: For use of the Posi-Shell Application Equipment Budget Code(s): 50351020 630003 Vendor#40725 (N/A if new vendor) <br /> Vendor is a BOCC consultant? Yes❑No® Contract New❑ Renewal N Amendment ❑ Effective Date Feb 1, <br /> 2010 Approved by Board Yes®No❑ Agenda D 21,2010 1 of Contract:Posi-Shell Cover System Application <br /> Equipment Lease/License Renewal Agreement <br /> If this is a Grant Agreement, pre-application has been t e Board of Commissioners Yes No If submitted forbid <br /> were bids/RFPs received Yes❑No❑ Bid/RFP number This contract has been reviewed and approved by the Department Director <br /> as to technical content: <br /> Department Director's Signature: Date: 2, or Ls <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: ❑ CGL; ❑ Auto; ❑ WC; ❑ Professional; ❑ Property; ❑ OR No Insurance Required El. Hold <br /> Contract pending receipt of Certificate of Insurance El. With incorporation of Insurance provisions as shown, this contract is approved <br /> by the Risk Manager: <br /> Risk Manager's Signature: Date: <br /> Financial Services <br /> This Contract is conditioned upon appropriation by the Board of Commissioners Yes❑NoY]. A budget amendment is necessary <br /> before approval Yes❑ No©. 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: N�t"t, Date: I <br /> County Attorney <br /> Approval by Board (Contracts over $25,000.00 or any BOCC consultant contract). Approval by Manager ❑ (All contracts <br /> $25,000.00 or less with the exception of BOCC consultants). This contract has been reviewed and approved by the Attorney as to legal <br /> form and sufficiency: <br /> Attorney's Signature j"14 Date: <br /> County Manager <br /> This contract has been reviewed and is approved by the County Manager Yes❑No❑. <br /> This contract has been reviewed and is to be submitted for BOCC consideration Yes❑No❑. <br /> Manager's Signature: Date: <br /> G/ Clerk to the Board <br /> Submitted for Chair signature: <br /> Clerk's Signature: Date: 0 <br /> Revised December 2009 <br />