2012-130 EDC - Emil Malizia Consultant

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cola -13 0 ORANGE COUNTY — CONTRACT CONTROL SHEET Routing Order: (1) Department, (2) IT, (3) Risk Management, (4) Financial Services, (5) Attorney, (6) Manager, (7) Clerk This Document shall accompany all contracts and shall be submitted for signature in the Routing Order specified above. If the Manager determines the contract is not appropriate for Manager approval the Manager shall submit the contract for BOCC approval. Contracts for BOCC approval must be submitted through, and complete, the routing process prior to agenda review. Contracts for legal review should be completed through the legal review process prior to being routed for signature. Department Party/Vendor Name: Emil Malizia Party/Vendor Contact Person: Emil Malizia Contact Phone: 919 - 962 -4759 Party/Vendor Address: 103 Dartmouth Court City Chapel Hill State: NC Zip: 27516 Department: Economic Development Amount: $3,000 Purpose: Consultant Budget Code(s): Quarter Cent Sales Tax Vendor # N/A (N /A if new vendor) Vendor is a BOCC consultant? Yes ❑ No ® Contract Type: (Check one) New ® Renewal ❑ Amendment ❑ Effective Date May 16, 2012 Approved by Board Yes❑ No ® Agenda Date: Title of Contract: If this is a Grant Agreement, pre - application has been approved by the Board of Commissioners Yes❑ No❑. If submitted for bid were bids/RFPs received Yes❑ No❑ Bid/RFP number This contract has been reviewed and approved by the Department Director as to technical content: Department Director's Signature: Date: IT Direct (Applicable only to hardware /software purchases or related services) This contract has been reviewed and approved by the Information Technology Director as to technical content and information technology specifications: IT Director's Signature: Date: Risk Management Include the following coverages: ❑ CGL; ❑ Auto; ❑ WC; ❑ Professional; ❑ Property; OR No Insurance Required FtK. Hold Contract pending receipt of Certificate of Insurance Fl. With incorporation of Insurance provisions as shown, this contract is approved by the Risk Manager: Risk Manager's Signature: AAJAJ Date: J� �Q 17— Financial Services This Contract is conditionpon appropriation by the Board of Commissioners Yes❑Nok. A budget amendment is necessary before approval Yes❑ NoA. If budget amendment is necessary, please attach to this form. This instrument has been pre - audited in the manner required by the Local Government Budget !and Fiscal Control Act: " Financial Services Director's Signature: A Date: 12, County Attorney Approval by Board ❑ (Contracts $90,000.00 or more for goods or services, $250,000.00 or more for construction, or any BOCC consultant contract). Approval by Manager,21-(M—ost other contracts $1,000 and above). Department Director approval only ❑ (Under $1,000). This contract has been reviewed and approved by the Attorney as to legal form and sufficiency: Attorney's Signatur Date: County Manager This contract has been reviewed and is approve by the County Manager YosffNo❑. This contract has been reviewed and is i a by the it Yes❑No2- Manager's Signature: Date: T JC Z� Clerk to the Board Approved by BOCC on the _ day of 20 . Submitted for Chair signature on the _ day of , 20 Clerk's Signature: Revised March 2012 Date: