Orange County NC Website
.mmm <br /> acta-/3O ' <br /> . , *° ' 1'- <br /> ORANGE CO 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 contract and shall be submitted for signature in the Routing Order specified above. If the Manager <br /> determmes the contract is not appropriate for Manager approval the Manager shall submit the contrac 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 /> Pmrty/V*odorNmoe: Emil Malizia PurtyNeodorCootuct Person: Emil Malizia Contact Phone: 919-962-4759 party/Veudo/.,�ddr000: <br /> 103 DouuuoutbCom� City Chapel Hill State:NC Zip:27516 Department: EoouonuiuDevelopment Amount: $3-000 purpoa�: <br /> Consultant Budget Code(s): Quarter Cent Sales Tax Vendor#N/A if new vendor) Vendor is a BOCC consultant? Yes 0 No <br /> �' Contract Type: (Check one)New Z Renewal E Amendment Fl Effective Date May 16,2012 Approved by Board Yco0Nn <br /> 11 Agenda Date: Title of Contract: <br /> If this is a Grant Agreement, application has been approved by the Board of Commissioners Yes Nob. If submitted for bid were <br /> bido8lFpo received YcuFllwn0 Bid/RFP number This contract has been reviewed and approved by the Department Director as to <br /> technical content: <br /> / <br /> Im� �� <br /> 11 �� a� <br /> 8»cpaxtoumnt|0ireot*r'oSignature: '^_, N�a� �4. �m `� Date: �~ -2-V—V2 <br /> 0[0^i--.311 <br /> (Applicable only to hardware/software purchases or related services)This contrac 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: Fl CGL; 0 Auto; 0 WC; 0 Professional; 0 Property; OR No Insurance Required gy Hold <br /> Coutruutpendiogruccipto[Certificmmnflouurauoe0. With incorporation of Insurance provisions as shown, this contract is approved <br /> by the Risk Manager: <br /> Risk Manager's 8igmmtumr:~ //^ Nyie' Date: ��• 7L4"' /2~ <br /> gi e �� 3 62-vi' A 5�� �� <br /> ' Financial Services <br /> This Contract is condition-• Poo appropriation by the Board of Commissioner Yea[]Nnk. A budget amendment is necessary <br /> before approval YesEJ NoK1. 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 Bud and Fiscal <br /> Financial Services]0inoctwr`xSignature: C'(' w-L._ J7- Date: 51 /2' <br /> County Attorney <br /> Approval by Board �l (Contracts $9000000 more for goods or services, $250^000.00 or more for construction, or any BOCC <br /> consultant contract). Approval � other contracts$1,000 and above . Department Director approval only (Under <br /> $1.080). This contract has been reviewed and approved by the Attorney as to legal form and sufficiency: <br /> A�oroey`mSigoutmr. ' ~- --- - Dzoc oy l/' �__ <br /> County Manager <br /> This contract has been reviewed and is approve, by the County Manager ymst] muLJ. <br /> This contract has been reviewed and is a ^, by th r }'uuFlYJoa- <br /> � �� � /° /e-_/� -' <br /> Manager's Signature: ���� ' N� ' ��� Date: <br /> - �r � ~-- <br /> Clerk to ��.�xd <br /> ApyrnvxdbyB0CCond`oduynf ,2 . 1r'� for Chair signature the day of ,20 . <br /> , Date: ~— <br /> Clerk's Signature: i - �\ <br /> Revised March 2012 <br />