Orange County NC Website
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: Secure Enterprises Party/Vendor Contact Person: Justin Smith Contact Phone: (919)235-4530 Party/Vendor <br /> Address: 909 Aviation Parkway, Suite 600 City Morrisville State:nc Zip:27560 Department: IT Amount: $10,920 Purpose:PCI <br /> Compliance Audit Budget Code(s): 1.0315020-630000 Vendor#NA (N/A if new vendor) Vendor is a BOCC consultant? Yes❑No <br /> Z Contract Type: (Check one)New Z Renewal ❑ Amendment ❑ Effective Date at signing Approved by Board YesE]NoZ <br /> Agenda Date: Title of Contract: Consulting 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 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 Signature771�j�� 3—: e_"W4 Date: wj <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--C*� %_ Date-07-71(c Z_ <br /> isk Management <br /> Include the following coverages: IdCGL; dAuto; 2WC;—ffProfessional; ❑ Property; OR No Insurance Require ❑. 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: <br /> 4 <br /> Financial Services <br /> This Contract is conditioned pan appropriation by the Board of Commissioners Yes❑NoT`* A budget amendment is necessary <br /> before approval YesEl Noy 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 Con I A t <br /> .150 c <br /> Financial Services Director's Signature: A4,-(_-1 . A.— Date: di <br /> h2- <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 Pq(Most other contracts$1,000 and above). Department Director approval only❑ (Under <br /> $1,000). This contract has been rrewed a approved by the Attorney as to legal form and sufficiency: <br /> el la <br /> Attorney's Signature Z44 Date: k <br /> County Manager <br /> This contract has been reviewed and is approved by the County Manager YAsETITKI <br /> This contract has been reviewed and is for s <br /> Manager's Signature: Date: "Z- <br /> Clerk 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 />