Orange County NC Website
f <br />1 <br />f <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 r <br />be completed through the legal review process prior to being routed for signature. <br />Department <br />Party/Vendor Name: Sound Advice of Eastern NC Party/Vendor Contact Person: David Evans Contact Phone: 252 355 1111 <br />Party/Vendor Address: 657 -B Worthington Road City Winterville State: NC Zip: 28590 DepartmentAMM AmountIffi 0Purpose: <br />f-- Budget Code(s): Vendor #( (N /A if new vendor) Vendor is a BOCC consultant? Yes ❑ No❑ Contract Type: <br />(Check one) New ❑ Renewal ❑ Amendment ❑ Effective Date Approved by Board Yes❑ No❑ Agenda Date: <br />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 This contract has been reviewed and approved by the Department Director as to <br />technical content: <br />Department Director's Signature: Date: <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 tec .LWlogy specifications: ^_ <br />IT Director's Signature:, Date: <br />Risk Management <br />Include the following coverages: ❑ CGL; ❑ Auto; ❑ WC; ❑ Professional; ❑ Property; OR No Insurance Required E�' Hold <br />Contract pending receipt of Certificate of Insurance Fl. With incorporation of Insurance provisions as shown, this contract is approved <br />by the Risk Manager: <br />Risk Manager's Si nature: 4mf, Date: _ 1. 1 ?/ <br />R.eev 57/Z;_ / "fifMAAJ <br />Financial Services <br />This Contract is condition d upon appropriation by the Board of Commissioners Yes❑N0 A budget amendment is necessary <br />before approval Yes Nop. If budget amendment is necessary, please attach to this form. his 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: <br />County Attorney <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 P4 (Most other contracts $1,000 and above). Department Director approval only ❑ (Under <br />$1,000). This contract has been r6lewed and approved by the Attorney as to legal form and sufficiency: <br />Attorney's Signature Date: 6 18 hz 1 4� <br />County Manage <br />contract has been reviewed and is approved by the County Manager Y�❑. <br />This contract has been reviewed and is for signature by the Chair Y ❑No� <br />Manager's Signature: Date: <br />Cler 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 />