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. . CABARRUS COUNTY-CONTRACTCONTROL SHEET . Routing Order (1) Originating Department:(2Y,C6ntra2iAdmil1istf;ltbr,(3y60~ntYAttorney,(4) Return tcColltrad Admin ORIGINATING DEPARTMENT (THIS /S THE ONL Y SECTION TO BE COMPLETED BY ORIGINA T1NG DEPARTMENT) ContractorNendor: MG-FC Carolina Alliance Vendor Number: Purpose: FLP- Soccer Complex- Field Lighting Installation Amount: .~ _ _. Account # budgeted: 00198110-9831-0581 , Department Number: 81-10 Dept. Rep.: Londa Strong TYPE OF CONTRACT (Please check one) ~ New D Renewal Effective Date: 12/05/2005 Expiration Date: 06/20/2006 Insurance Cerlificate(sJ Reauested Checklist ~ County Policy Review D General Liability Insurance D Vendor W-9 D Automobile Liability Insurance D Worker's Comp Insurance Oriainals / Cooies to be Distributed D Originallcopies to Vendor D Other Routing Instructions ~ Copies to originating Departrnent D Electronic Form contract submitted to Contract A tor Department Head Signature Date: 12/05/2005 Signature above verifies this document has been reviewed and approved by the Department Head. INFORMATION TECHNOLOGY DIRECTOR (Applicable onlY for hardware/software purchase or related services) This document has been reviewed and approved by the Information Systems Director as to technicai content iT Director's Signature: Date: CONTRACT ADMINISTRATOR Date Received J d-. - ') - 06 Contract Control #: Sufficient funds are available in the prQper account to pay for this expenditure. A budget amendment is necessary before this agreement is approved. A budget amendment is attached as required for approval of this agreement Does this contract require Board of Commissioners action? Yes D No D Does this contract require County Manager action? Yes D No D Yes D No D Yes D No D Yes D No D Date of action: Date of action: D Pre-audit certification completed. Contract Administrator's Signature: D Non-appropriation clause included for multi-year contracts. Date: . COUNTY ATTORNEY.." '-.. (\.fT. ". ."...,'y.r....'.I;.rl'-..7n.. r ./\ 1 '. \.J\/. i,;:'! ~ .~/:".~~i!;.)' .. :I';.':f 'I i ''),;'''''. \JV r'l-.. t"l This document has been reviewed and approved by the County Attorney In relalion to iegal content County Attorney's Signature Dale- '-, ..,'c' . '~', .t -, :.... ::.-' '. ^^^^^^^^^^^^^^^^^^^^^^^^^^^^^^^^^^^^^^^^^^^^^^^^^^^^^^^^^^^^^^^^^^^^A~^AiA^~^^~~^~:^. Completed and Filed bv Contract Administrator: Date: F-5 I I I I I I I I I I I I I I I I I I I