Orange County NC Website
ORANGE COUNTY—CONTRACT CONTROL SHEET <br />Routing Order; 1 Department, IT, Risk Management, 4 Financial Services, (5) 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 />det rmm' e 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: Patricia SmitL Party V nd r Contact person: Patricia Smith Contact Phone: 919 - 732 -9865 Party /Vendor Address- <br />4816 Efland Cedar Grove Road City Hillsborough State: NC Zip: 27278 Department: Tax Assessor Amount: $19,075 Purpose: <br />Extend contract for eo r)l tion„ of re a and reconciliation � the iar a - Orange County Boundary Line 1'r j.. t. Budget <br />r ------ -w- <br />ode s: 10330020 - 630000 Vendor 3398 (NIA if new vendor) Vendor i a B OCC consuftant`?.....Ye El -N60 Contra t Type: <br />(Check one) New ❑ Renewal ❑ Amendment ® Effective Date December I, 2011 Approved by Board Yes[:] NoZ Agenda <br />Date: Title of Contract: Amendment to Consultant Services Agreement <br />If this is a Grant Agreement, pre - application has been approved by the Board of onunissioners Yes❑ No ❑. If submitted for hid were <br />bids/RFPs received Yes❑ o❑ Bid RFP number his contoStt Deen reviewed and approved by the Department Director as to <br />technical content: <br />Department Director's Signature: <br />Date: <br />T.-Jeeto r <br />(Applicable only to hardularelsoftware 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: <br />Risk Management <br />Date: <br />Include the following coverages: El L; ❑ Auto; [:1 WC; ❑ Professional; ❑ Property; ❑ OR No Insurance Required g. 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., 2..7- <br />{ � <br />C/br Y . 1W '5�qa* <br />Financial Services <br />This Contract is condition pon appropriation bar the Board f Commissioners Yes❑ I budget amendment is necessary <br />before approval Yes❑ No If budget amendment i necessary, please attach to this form. ,s insh,a rent has been pre - audited in the <br />manner required by the Local Government Bud t d Fiscal Control ct: <br />Financial Services Director's Signature: �. Date: <br />ounty Attorne <br />Approval by Bard ❑ ontra s over $90,000.00 for goods or set-vices, $250,000.00 for construction, or any BOCC consultant <br />contract). Approval by Man g - (All other contracts). This contract has been reviewed and approved by the Attorney as to legal <br />form and sufficiency: <br />Attorney's signature Date: 3 <br />Cou .ty Mana er <br />This contract has been reviewed and is approved by the County Manager Yes o❑. <br />This contract has been reviewed and is to be sbiittc for ira ron Yes ON o I j <br />Manager's a na ure: Date: e5 <br />Clerk to tre Board <br />Approved by BOCC on the day of , 2�. Sabi e ha' signature on the day of , 20 <br />Clerk's Signature: ate. <br />N <br />Revised April 2010 <br />