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ORANGE COUNTY — CONTRACT CONTROL SHEET <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 />Departmen# <br />Party/Vendor Name: Solutions for Local Government, Inc. Party/Vendor Contact Person: Stephen J. Allan Contact Phone: 866 -300- <br />3545 Party/Vendor Address: 2301 Valencia Terrace City Charlotte State: NC Zip: 28226 Department: Emergency Services Amount: <br />$28,000.00 Purpose: Comprehensive Assessment of Orange County Emergency Medical Services and a 411 /Communications O ep ration <br />Study Budget Code(s): 35755120- 630000 Vendor # N/A (N /A if new vendor) Vendor is a BOCC consultant? Yes ® No❑ <br />Contract Type: (Check one) New ® Renewal ❑ Amendment ❑ Effective Date 3128112 Approved by Board Yes® No❑ <br />Agenda Date: 3122112 Title of Contract: EMS and 911 Study <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 />bidslRFPs received Yes❑ Non Bid/RFP number This contract has been reviewed and approved by the Department Director as to <br />technical content: <br />Department Director's Signature: _ Date: ho e- <br />rr Director <br />(Applicable only to har&are/sofhvare 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: sV646 W y* p qo 4Ahgs , NA. Date: .4 It l z <br />Risk Management <br />Include the following coverages: ❑ CGL; ❑ Auto; ❑ WC; ❑ Professional; ❑ Property; OR No Insurance Re uired ❑% 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: � • l � ° � �° <br />Financial Services <br />This Contract is conditionupon appropriation by the Board of Commissioners Yes ❑No . A budget amendment is necessary <br />before approval Yes❑ No W. If budget amendment is necessary, please attach to this form. This instrument has been pre - audited in the <br />manner required by the Local Government Budgpt and Fiscal Contro Act: <br />Financial Services Director's Signature: A Date: ! I <br />County Attorney <br />Approval by Board ❑ (Contracts $90,0020.Op or more for goods or services, $250,000.00 or more for construction, or any BOCC <br />consultant contract). Approval by Manager(Most other contracts $1,000 and above). Department Director approval only ❑ (Under <br />$1,000). This contract has b n viol , d approved by the Attorney as to legal form and sufficiency: <br />Attorney's Signature J Date: At I Itz- <br />County Manager <br />This contract has been reviewed and is approved by the County Manager Yep❑ "No❑. <br />This contract has been reviewed and is for signature by the Chair Yes ❑No❑. <br />Manager's Signature: <br />Approved by BOCC on the _ day of , 20 . Submitted <br />Clerk's Signature: <br />n.,.., .,-A M_ --I, 7n'1 ') <br />Date:; <br />re on the .d � of 20 <br />