Orange County NC Website
ORANGE COUNTY—CONTRACT CONTROL SHEET <br />Routing Order: 1 Department, 2 IT, Risk Management, Financial Services, Attorney, Manager, 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 />BCC 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 prier to being routed for signature. <br />Department <br />Party ondor Za ne; ole nan Gledhill H r rage, Peel, 11e -rift Party /Mender Contact Person: Geof Gledhill Contact Phone: 732- <br />PartyNendor Address; 129 E. Tryon St City Hillsborough State; NC Zip: 27278 Department; County Attorney Amount: $5,000 <br />Purpose; Consuldn Budget Code(s): 10205020-630000 Vendor (NA if n w ven or ender is a BOCC <br />consultant? Yes 1:1 NoZ Contract Type: (Check one) New ❑ renewal 0 Amendment ❑ Effective Date January 1, 2012 <br />Approved by Board Yes❑ Igo❑ 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 />bidsFPs received Yes❑ loo❑ id`P number This contract has been reviewed and approved by the Department Director as to <br />technical content: <br />Department Director's Signature: Date: <br />15�/ <br />IT Director <br />(Applicable only to hardwarelsof4vare w-chases r related t r .s ) 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 ana ernen <br />Include the following coverages; Ej L; ❑ Auto; ❑ WC; Z Professional; Ej Property; OR No Insurance required ❑. Hold <br />Contract pending receipt of Certificate of Insurance E]. With incorporation of Insurance Provisions as shown, this contact is approved <br />by the Risk Manager: <br />'o211 <br />Disk Manager , Signature: <br />Date. � <br />Financial Services <br />This Contract is conditionedd upon appropriation by the Board of Commissioners Yes❑NO. A budget amendment is necessary <br />before approval Yes❑ NoO. If budget amendment is necessary, please attach to this form. This instrument has been fare- audited in the <br />manner required by the Local Government Budget and Fiscal Control Act: <br />i <br />Financial Services Director's Signature: -'`-- Date: �`- <br />ounty Attorne <br />Approval by Board ❑ (Contracts 0,000.00 or more for goods or services, $250,000.00 or more for construction, or any BOCC <br />consultant contract). Approval by Manager (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 />C�z / <br />County Manager <br />This contract has been reviewed and is approved by the County Manager ss[:fo❑. <br />This contract has been reviewed and is for signature by the Chair : es❑Ioo'. <br />4 . <br />Manager's Signature: Date: <br />Clem he Board <br />Approved by BC on the day of , 20 Sub itte for Chair signature on t c clay of 20 �. <br />Clerk's Signature: <br />Date. L/ <br />Revised November 2011 <br />