Orange County NC Website
aoia -lp <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: Nex oint Party/Vendor Contact Person: Katie Townsend Contact Phone: 773 929 4000 x 190 Party/Vendor <br />Address: 4043 N. Ravenswood Ave City Chicago State: IL Zip: 60613 Department: Information Technology Amount: 4040 Purpose: <br />Social Media Archiving Budget Code(s): 10315020- 625010 Vendor # N/A (N /A if new vendor) Vendor is a BOCC consultant? Yes <br />❑ No® Contract Type: (Check one) New ® Renewal ❑ Amendment ❑ Effective Date 6/4/2012 Approved by Board Yes❑ No <br />® Agenda Date: 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 />i <br />Department Director's Signature: Date: S <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:__ Date: 6=� , S - 2_-0G2__ <br />Risk Management <br />Include the following coverages: ❑ CGL; ❑ Auto; ❑ WC; ❑ Professional; ❑ Property; OR No Insurance Required [j�' Hold <br />Contract pending receipt of Certificate of Insurance E]. With incorporation of Insurance provisions as shown, this contract is approved <br />by the Risk Manager: <br />Risk Manager's Signature: Date: l4 ' 7• 1?,- <br />Financial Services <br />This Contract is conditione&Apon appropriation by the Board of Commissioners Yes❑No A budget amendment is necessary <br />before approval Yes❑ NoA. 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 Bud a and Fiscal Contr 1 Act: <br />Financial Services Director's Si nature: U 7. Date: �' <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 ❑ (Under <br />$1,000). This contract has been r ewed a d approved by the Attorney as to legal form and sufficiency: <br />Attorney's Signature Date: <br />County Manager <br />This contract has been reviewed and is approved by the County Manager Yq>ErNo❑. <br />This contract has been reviewed and is for signature by the air Yes❑No� <br />Manager's Signature: Date: Y �N <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 />