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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 Iegal review should <br />be completed through the legal review process prior to being routed for signature. <br />Department <br />Party/Vendor Name: Lone Party /Vendor Contact Person: Jeff St. Clair Contact Phone: 336- 255 -1514 Party/Vendor Address: 7517 <br />Precision Drive City Raleigh State: NC Zip: 27617 Department:« it pport Enforcement Amount: $18w 64970 Purpose: Supply and <br />installation of equipment for cell phone coverage enhancement Budget Code(s): Vendor * 2 ` /A if new vendor] V—Y�� en5or <br />is a BOCC consu tan ."Yes Duo®.. Contract Type: (Check one) New ® Renewal ❑ Amen ment ❑ Effective Date <br />Approved by Board Yes❑ No® 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 />bids /RFPs received Yes❑ No❑ 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: <br />IT Director <br />(Applicable only to hardware /softr€are 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 />Date: <br />Risk Management <br />Include the following coverages: ❑ CGL; ❑ Auto; ❑ WC; ❑ Professional; ❑ 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: 4 • t J • (7i <br />t <br />Financial Services <br />This Contract is conditioned upon appropriation by the Board of Commissioners Yes❑NX. A budget amendment is necessary <br />before approval Yes❑ No�. If budget amendment is necessary, please attach to this form. This instrument has been pre- audited in the <br />manner required by the Loea Government Budget and Fiscal Control Act: <br />Financial Services Director's Signature: Date: <br />CountV Attorne <br />Approval by Board ❑ (Contracts $90,000.00 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: ..2 <br />i <br />Attorney's Signature_ ` Date: 711 0 <br />k Count Mana er <br />This contract has been reviewed and is approved by the County Manager Yes❑ 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 <br />Cleric's Signature: <br />}devised November 2011 <br />Date: 1' <br />Cleric to the Board <br />Submitted for Chair signature on t ay o _, 20 <br />Date: <br />