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: Leah Long Party/Vendor Contact Person: Leah Long Contact Phone:— Party/Vendor Address:214 Pleasant <br /> Green Road City Hillsborough State:NQ Zip:27278 Department: AMS Amount:n/a Purpose:Use of Eno River Parking Deck for <br /> Photo"by and Videog ion 12ictures-09/08/12@19:30 thru 09/09/12&02:00 Budget Code(s):n/a Vendor#n/a (N/A if <br /> prpphy for <br /> new vendor) Vendor is a BOCC consultant? Yes❑NoZ Contract Type: (Check one)New 0 Renewal❑ Amendment ❑ <br /> Effective Date 08/06/12 Approved by Board Yes❑No❑ Agenda Date: Title of Contract:Right of Entry and Use <br /> 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 en revile and approved by the Department Director as to <br /> technical content: -z__ <br /> Department Director's Signatu ate: <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; ❑ Property; OR No Insurance Required � Hold <br /> Contract pending receipt of Certificate of Insurance M. With incorporation of Insurance provisions as shown,this contract is approved <br /> by the Risk Manager: <br /> Risk Manager's Signature: Date: 0/z <br /> Financial Services <br /> This Contract is conditioned on appropriation by the Board of Commissioners YesE]NoE?.,*' A budget amendment is necessary <br /> . If budget amendment is necessary,please attach to this form. This instrument has been pre-audited in the <br /> before approval Ycl�Novi, <br /> manner required by the Local Government Budget nd Fiscal Control Act: <br /> Financial Services Director's Signature: Date: <br /> Courtly 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 0(Most other contracts$1,000 and above). Department Director approval only❑(Under <br /> $1,000). This contract has been r an wed approved by the Attorney as to legal form and sufficiency: <br /> Attorney's Signature 7 1 Date: <br /> County Manager <br /> This contract has been reviewed and is approved by the County Manager YesrINoO. <br /> This contract has been reviewed and is far si afore by the air Yes❑NQ[�:'' <br /> Manager's Signature: Date: <br /> 1411" Clerk to the Board <br /> Approved by BOCC on the_day of 120 Submitted for Chair signature on the day of 120 <br /> Clerk's Signature: Date: <br /> Revised March 2012 <br />