Orange County NC Website
a � <br />ANG COUNTY CONTRACT CONTROL SHEET <br />Routing Order: 1 Department, 2 IT, Risk Management, Financial Services, 5 Attorney, Manager, 7 Clergy <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 />B CC 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 'endor Name: NC State University for /ors behalf of Small Business and ` e of ._ el t..: .en �'. TD 1�a�Ne dor <br />.,f....._M.Mnn. ..,.....,.. :...N ..... <br />Contact Person: Ron 11initch, Regional Director Contact Phone: 1 6�-ry Party /Vendor Address- Airport Read, Ito �� <br />Chapel Hill State: NC Zip: 2 7514 Depaftnent: Economic Development Amount: $10,000.00 Purpose: T maintain regional office in <br />....... ::........ r <br />range Count rove enera usines consu tin services cunen the are <br />A. n,,... ' as ..:.xnte:rntoua ...# tee nolgy declopnent..and <br />government procurement available to small f in s andµ d- b&__dr rs...ir� r n e ..County. Budget Code(s): 1 0600020-63 0000 <br />............................................................. ............................... . <br />............... . <br />Vendor # (N ' ifi wnd& .........Vendor is a consultant . Yes No Contract Type: (Cheep one) New ❑ Renewal <br />M Amendment ❑ Effective Date July 1, 2011 Approved by Board Yes❑ No Z Agenda Date: Title of Contract: <br />If this is a Grant Agreement, pre - application has been approved by the Board of Commissioners 'S e ❑ No❑. If submitted for bid were <br />bids/RFPs received Yes❑ Non BidIRPP number This contract has been reviewed and approved by the Department Director as to <br />technical content- <br />Department Director's i nature: �. ,� � � � bate: � � �. 1 <br />g <br />IT ` i) cto r <br />(Applicable only to h � d rely° fhvare purchases related services) *s 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: Ej C L; ❑ Auto; ❑ WC; [:] Professional; El Property; OR No Insurance Required 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: 0 - I Z,/ <br />Financial Services <br />This Contract is conditx n d upon, appropriation by the Board of Commissioners Yes ❑No A budget amendment is necessary <br />before approval Yes❑ NQkN. If budget amendment is necessary, please attach to this form. Khiinstrument has been pre - audited in the <br />manner required by the Local Govermnent Budget and Fiscal Control Act: <br />Financial Services Director's Signature: � Date: <br />u t .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 M (All other contracts). This contract has been reviewed and approved by the Attorney as <br />to legal form and sufficiency: <br />Attorney's Signature Date: <br />County Manager 4 <br />This contract has been reviewed and is approved by the County Manager 80 No❑: <br />This contract has been reviewed and is for signature by the Chair Yes ❑N ❑: �... <br />Manager's Y nature: Date: <br />Approved by BOCC on the day of _ , 20 ed for Chair signature on the <br />., <br />Clerk's Signature: Date: <br />Revised November 201 <br />