Orange County NC Website
zo1z- NO <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: Hunt. Smith and Snow LLC Party/Vendor Contact Person: John Smith Contact Phone: Party/Vendor <br />Address: City State: Zip: Department: Tax Administration Amount: $20,800 Purpose: Budget <br />Code(s): Vendor # (N /A if new vendor) Vendor is a BOCC consultant? Yes ❑ No® Contract Type: (Check one) New <br />® Renewal ❑ Amendment ❑ Effective Date June 6, 2012 Approved by Board Yes❑ No® Agenda Date: Title of <br />Contract: 3 4 3 3 01 R o b3 Do 0 0 <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: 6,g-4, t� <br />I late: L ! Z <br />JF <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: <br />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 El. With incorporation of Insurance provisions as shown, this contract is approved <br />by the Risk Manager: <br />Risk Manager's Signature: <br />Date: <br />Financial Services <br />This Contract is condition gd pon appropriation by the Board of Commissioners Yes ❑NO A budget amendment is necessary <br />before approval Yes❑ No4. 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: Date: L <br />County Attorney <br />Approval by Board ❑ (Contracts $90,00 .00 or more for goods or services, $250,000.00 or more for construction, or any BOCC <br />consultant contract). Approval Manag (Most other contracts $1,000 and above). Department Director approval only ❑ (Under <br />$1,000). This contract has bee r iewed roved by the Attorney as to legal form and suffici cy: <br />Attorney's Signature Date: <br />County Manager <br />This contract has been reviewed and is approved by the County Manager Y o ❑. <br />This contract has been reviewed and is for signature by the Chair Yes ❑N <br />Manager's Signature: Date: V 1 (/ <br />Clerk to oard <br />Approved by BOCC on the _ day of 20 Submitted for Chair signature on the _ day of , 20 <br />Clerk's Signature: Date: <br />Revised March 2012 <br />