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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 /> 4 3,a, :`1l completed through the legal review process prior to being routed for signature. <br /> `3-,o f -t'f/) Department <br /> Party/VendM Name: Galper/Fettig PartyNendor Contact Person: Rachel Galper/Art Fettig Contact Phone: PartyNendor <br /> Address: City State: Zip: Department' b C mount: 475 & 100 Purpose: Budget Code(s): <br /> 1050020-630000 Vendor# (N/A if new vendor) Vendor is a BO consultant? Yes❑No Contract Type: (Check one) <br /> New❑ Renewal ❑ Amendment ❑ Effective Date Approved by Board Yes No❑ Agenda Date: Title of <br /> 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 contra t has been reviewed and approved by the Department Director as to <br /> technical content: <br /> Department Director's Signature: �'/ .4.7- Date: /2,eplpz,. <br /> l 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: 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: t;ac Date: L• Z 3. /-? <br /> Q20c-`d W2,4/ a- .2 co-,tih¢t c,t / `' Pa c>:, <br /> Financial Services <br /> This Contract is conditioned upon appropriation by the Board of Commissioners Yes❑No®. A budget amendment is necessary <br /> before approval Yes Non. 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 Budget and Fiscal Control Act: <br /> / <br /> Financial Services Director's Signature: `mil '1 4'_{ .. A �d'''"- Date: 911- 111- <br /> County Attorney <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❑ (Most other contracts$1,000 and above). Department Director approval only OA (Under <br /> $1,000). This contract has been ,-viewed and approved by the Attorney as to legal form and sufficiency: <br /> Attorney's Signature ` • yeA Date: <br /> ./la71,2 <br /> County Manager <br /> This contract has been reviewed and is approved by the County Manager YesaiNloa <br /> This contract has been reviewed and is for ' at re,f y +e hair Yes0NoEK <br /> Manager's Signature: I Date:+ ,j/I <br /> Clerk to the : +arI <br /> Approved by BOCC on the day of ,20 . S et + Chair signature on day of ,20 . <br /> Clerks Signature: \f� <br /> - Date: Lt <br /> Revised March 2012 <br />