Orange County NC Website
ORANGE COUNTY—CONTRACT CONTROL SHEET j <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 /> PartyNendor Name: BES Party/Vendor Contact Person: Nitya Fiorentino Contact Phone: 2452538 Party/Vendor Address: 125 <br /> Tuscarora Dr. City Hillsborough State:NC Zip: 27278 Department: Library Amount: >1K Purpose:Programming Budget Code(s): <br /> 105000020-63000 Vendor#58175 (N/A if new vendor) Vendor is a BOCC consultant? Yes ❑No Contract Type: (Check one) <br /> New® Renewal ❑ Amendment ❑ Effective Date Approved by Board Yes❑No Agenda Date: Title of <br /> Contract: Library Programs-Gulick 7/21, Piedmont 7/12,Brecher 5/24, Rags 6/13 <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 xThis con t has been reviewed and approved by the Department Director as to <br /> technical content: 2 �^_ r� <br /> Department Director's Signature: �� t %7L,` , Date: ©rO of Q/ . <br /> I irector <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: ►i l CL Date: <br /> t Risk Management <br /> Include the following coverages: ❑ CGL; ❑ Auto; ❑ WC; ❑ Professional; ❑ Property; QrOR No Insurance Required D. 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: 3. 30- I v <br /> 03/�yf%0 3 62,,,�6f,,,,� - - <br /> Financial Services <br /> This Contract is conditioned pon appropriation by the Board of Commissioners Yes❑No A budget amendment is necessary <br /> before approval Yes❑ No If budget amendment is necessary,please attach to this form. It's instrument has been pre-audited in the <br /> manner required by the Loc Government Bud and Fiscal Control Act: <br /> Financial Services Director's Signature: a'1 GA-- )), Date: 41 4( (v <br /> County Attorney <br /> Approval by Board ❑ (Contracts over $90,000.00 for goods or services, $250,000.00 for construction, or any BOCC consultant <br /> contract). Approval by Manager ❑ (All other contracts)t'AThis contract has been reviewed and approved by the Attorney as to legal <br /> form and sufficiency: p 7 <br /> Attorney's Signature „.",„.,C, 0 / .y, Date: /s// <br /> County Manager <br /> This contract has been reviewed and is approved by the County Manager Yes❑No❑. <br /> This contract has been reviewed and is to be submitted for BOCC consideration Yes❑No❑. <br /> Manager's Signature: (\ / A_ Date: <br /> ` Clerk to the Board, <br /> Approved by BOCC on the day of ,20 . Submi ,►or V hai• signature on the day of ,20 . <br /> Clerk's Signature: 0/ Date: f / <br /> Revised April 2010 <br /> ANIMEMEMMEIMIMEIMIMIIMEMEMMIIIIIIMIMIEMII <br />