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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 : Owens Roofing Party/Vendor Contact Person : Contact Phone : 919 - 821 - 0082 Party/Vendor Address : 301 <br /> W Cabarrus St City Raleigh State : NC Zip : 27601 Department : Asset Mgmt Amount : $ 90 , 591 Purpose : Roof Repair-DA' s and GSA <br /> Buildings Budget Code (s) : 61370035482000 -30002 Vendor # 40199 (N/A if new vendor) Vendor is a BOCC consultant? Yes ❑ <br /> No ❑ Contract Type : (Check one) New ® Renewal ❑ Amendment ❑ Effective Date Approved by Board Yes ❑ No [:] <br /> 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 - 1601 . This contract has been reviewed and approved by the Department Director <br /> as to technical content : <br /> Department Director ' s Signature : G✓1'I/l f l� Date : / • ?—r-1 • / D <br /> IT it for <br /> (Applicable only to hardware/software purchases or related services his contract has been reviewed and approved by the Information <br /> Technology Director as to technical content and information techno o specifications . <br /> IT 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 ❑ . With incorporation of Insurance provisions as shown, this contract is approved <br /> by the Risk Manager . <br /> Risk Manager ' s Signature : Ct/j'til Date : • • l0 <br /> Financial Services <br /> This Contract is conditioned pon appropriation by the Board of Commissioners Yes ❑ No 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 Bud et and Fiscal Control Act : <br /> 1 <br /> Financial Services Director ' s Signature : 1^ .� �• - Date : f o <br /> County Attorney <br /> Approval by Board ❑ (Contracts ov $ 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 /> Date Signature <br /> Attorney g' s Si • / " ��/ �J <br /> . <br /> County Manager <br /> This contract has been reviewed and is approved by the County Vanager Ye No ❑ . <br /> This contract has been reviewed and is to be s mitted or B consideration Yes ❑No2' <br /> xx <br /> Manager ' s Signature : Date : U <br /> C erk a Board <br /> Approved by BOCC on the day of , 20 S mitted for Chair signature on the day of , 20 <br /> Clerk' s Signature : Date : <br /> Revised April 2010 <br />