Orange County NC Website
Browse       Search
w� <br />ORANGE COUNTY—CONTRACT CONTROL SHEET <br />b� µ�. n S1� <br />U, Routing Order: (1) Depart nt, (2) IT, Risk Management, Financial Services, Attorney, M anag r, 7 Clerk <br />_7A <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 B C 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. 10(a 1�6&2 0-- V,2 6 013 <br />Department <br />- Party / ndor Name: Qtr . lutions, Inc. Part 1. endor Contact Person: Bryan Buckley Contact P e: 847-478-4806 <br />Party/Vendor Address: 300 Knightsbridge Parkway, Ste. 120 City Lincolnshire State: IL Zip: 60069 rtment: Planning Amount: <br />76 /yr. Purpose: Internet cell modem service for Twice r* g .yemot nit xrina Budget Code (s.): (N if <br />Y..- t- �..,... �­,.. _�.. V----....-- m . ........ .......N_...x�n.:.:: _........... ....w.- ...ry._n.:,....::........ .. w....::... .. .: �,�..�...v......v. . <br />new vendor) Vendor• i B CC consultant? Yes ❑ N N Contract Type: (Check one) New M Renewal ❑ Amendment ❑ <br />Effective Date ASAP after signatures by both parties Approved toy Board Yes❑ N Z Agenda Date: Title of Contract: <br />P S /GSM Afili e User Agreement <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❑ id 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 />l2 <br />IT Director <br />(Applicable only to hardivarelsoftware pw-chases or related seta This contract has been reviewed and approved by the Information <br />Technology Director a to technical content and information technology specifications: <br />MEOW 20. 4w 47 <br />IT Director's Signature: M.,! Date: 0 <br />Risk Management <br />Include the following coverages: ❑ L; El Auto; ❑ WC; [:1 Professional; El Property; OR No Insurance Required Hold <br />Contract pending receipt of Certificate of Insurance ❑. with incorporation of Insurance provisions as shown, this contract is approved <br />by the Risk Manager: <br />Risk Manager's Signature: Date: <br />Financial Services <br />This Contract is onditio d pon appropriation by the Board of Commissioners Yes ❑N budget amendment is necessary <br />before approval Yes❑ N If budget amendment is necessary, please attach to this form. 1 instrument has been pre-audited in the <br />manner required by the Lo a Government Budget and Fiscal Control Act: <br />Financial Set-vice Director's Signature.. jy, Date: � <br />County Attorney <br />Approval by Board [:1 (Contracts $90,000.00 or more for goods or ervi es, $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 s <br />to legal form and sufficiency: <br />Attorney's S' roature Date: <br />County Maim er <br />This contract has been reviewed and is approved by the County Manager Y ❑ No❑, <br />This contract has been reviewed and is for signature by the Chaff , Yes []No ❑. <br />Manager's Signature: � x. �... Date: <br />�lerk.tn..t1�...Br �" �.. .................. <br />Approved by BOCC on the day of .. bitted for Chair signature on the day of , 2�. <br />Clem Signature: �+ I ate, <br />: <br />Reprised November 2011 <br />