Orange County NC Website
;ol)•-I/11 <br /> r <br /> ORANGE COUNTY—CONTRACT CONTROL SHEET 4-1 "1' <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: NCEM PartyNendor Contact Person: Dianne Benton Contact Phone: 919-733-3825 PartyNendor Address:4713 <br /> Mail Service Center City Ralei State:NC Zip: 27699 Depaitinent: Grants/Training Amount: 58000.00 Purpose: EM Training <br /> Budget Code(s)fl$OOA1, dor# (N/A if new vendor) Vendor is a BOCC consultant? Yes❑No Contract Type: (Check <br /> one)New® Renewal El Amendment ❑ Effective Date Approved by Board Yes❑No Agenda Date: Title of <br /> Contract: Homeland Security Grant Program(FY 2010-SS-T0-0075) <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: ��j.,1►�1k f/t Date: 64.72.S f Z <br /> IT Director <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; El 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: Win Date: 5.8• 12 <br /> PPrstd 5/7/ 2 a,' Q,��-;,49 <br /> Financial Services <br /> This Contract is condition pon appropriation by the Board of Commissioners Yes❑NotA. 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 Local Government Budget and Fiscal Control Act: <br /> Financial Services Director's Signature: e .0 o� <br /> . J. Date: Si I l I 1 2 <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 . Manager/a,.(Most other contracts$1,000 and above). Department Director approval only❑ (Under <br /> $1,000). This contract has b.ef•vi',, nd approved by the Attorney as to legal form and suffici ncy: <br /> Attorney's Signature 9�� Date: 16 j-2._ <br /> County Manager <br /> This contract has been reviewed and is approved by the County Manager YesDNo❑. <br /> This contract has been reviewed and is for '•,n.tune by , Chair Yes❑NoE}:" <br /> Manager's Signature: Date: .51--- <br /> v <br /> Clerk to the Board // /� <br /> Approved by BOCC on the day of ,20 . ..;Submitted for Chair signature 6 the day of ,20 <br /> 3 2 3 fi- <br /> Clerk's Signature: Date: <br /> Plf_ti late,*(t- c/i2,(-1-A '---- <br /> Revised March 2012 At114 11-1-C'?e— <br /> (/ F/flt((9j,- f <br />