Orange County NC Website
Browse       Search
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 /> Department <br /> Party/Vendor Name: EnviroSafe Inc. Party/Vendor Contact Person: Kevin Dull Contact Phone: 336-226-4896 Party/Vendor Address: <br /> 17 SE Court Street City Graham State:NC Zip:27253 Department: Administration Amount:41958.00 Purpose:Emergency <br /> Preparedness Exercises Budget Code(s): Vendor# (N/A if new vendor) Vendor is a BOCC consultant? Yes❑No <br /> Contract Type: (Check one)New® Renewal❑ Amendment ❑ Effective Date Approved by Board Yes❑No <br /> Agenda Date: Title of Contract: Orange County 2012 Exercise Series- Services Agreement <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 YesZ No❑ Bid/RFP number Informal per FinanceThis contract has been reviewed and approved by the <br /> Department Director as to technical content: <br /> Department Director's Signature: Date: 041 mit ti <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; [f Auto. [1 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: 1."u;J L.4 1(4 II- <br /> Risk Manager's Signature: "A,.....-- J . n Date: ! t a ll I' <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❑No . If budget amendment is necessary,please attach to this form. This instrument has been pre-audited in the <br /> manner required by the Loca Government Budget and Fiscal Control Act: <br /> n� 115 112, lkA .,w ,0 .d � 10/IL <br /> Financial Services Director's Signature: �� Date: <br /> County Attorney <br /> Approval by Board ❑ (Contracts $90,000�0q or more for goods or services, $250,000.00 or more for construction, or any BOCC <br /> consultant contract). Approval b i anager (Most other contracts$1,000 and above). Department Director approval only❑ (Under <br /> $1,000). This contract has been - ;w-d ..ja roved by the Attorney as to legal form and sufficie y: <br /> Attorney's Signature 1' �0 Date: �-- <br /> County Manager <br /> This contract has been reviewed and is approved by the County Manager YesErNo❑. <br /> This contract has been reviewed and is for sign. ure by the Chair Yes❑Noa <br /> Manager's Signature: il <br /> 4 //, Date: 2— 7G- 13-* <br /> Cle to the Board <br /> Approved by BOCC on the day of ,20 . Submitted for Chair signature on the day of ,20 . <br /> Clerk's Signature: Date: <br /> Revised March 2012 <br />