Orange County NC Website
,�r_ 0 Wo <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: Carla Squires DBA Bamboo Ladies Party/Vendor Contact Person: Carla Squires Contact Phone: 919- 369 -1944 <br />Party /Vendor Address: 8212 Netherlands Drive City Raleigh State: NC Zip: 27606 Department: Economic Development Amount: NA <br />Purpose: User services contract Budget Code(s): NA Vendor # NA (N /A if new vendor) Vendor is a BOCC consultant? Yes ❑ No <br />® Contract Type: (Check one) New ® Renewal ❑ Amendment ❑ Effective Date 5/3/12 Approved by Board Yes❑ No® <br />Agenda Date: Title of Contract: Piedmont Food & Agricultural Processing Center User Services 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: S G� / <br />IT Directo <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 />i- 1 Risk Management <br />Include the following coverages: [i1 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: Date: <br />Financial Services <br />This Contract is conditionotdypon appropriation by the Board of Commissioners Yes ❑No A budget amendment is necessary <br />before approval Yes❑ No [A. If budget amendment is necessary, please attach to this form. Vis instrument has been pre - audited in the <br />manner required by the Local overnment Budget and Fiscal Control Act: 1 <br />Financial Services Director's Signature: Date: A <br />Countv Attorne <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 E] (Under <br />$1,000). This contract has bee viewed and approved by the Attorney as to legal form and sufficiency: <br />Attorney's Signature Date: , / l6 /1 <br />V County Manager <br />This contract has been reviewed and is approved by the County Manager YesnNo❑. <br />This contract has been reviewed and is for signature by the Chair Yes❑No[Er <br />Manager's Signature: Date: <br />S- - /2- /v <br />Clerk to the Board <br />Approved by BOCC on the _ day of 20 . Submitted for Chair signature on the day of , 20 <br />Clerk's Signature: <br />Revised March 2012 <br />Date: <br />