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-3 1C) e-0 I �-��� <br /> 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 bu 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 /> Purty/VoudorNumo: Party/Vondor[outuot Person: ____ Contact Phone: Party/Vendor Address: <br /> _____ <br /> City- State:_____ Zip:____ Department: Libra Amount: Purpose: <br /> Code(s): Vendor#_____ (N/Ai[new vendor) Vendor is aBOCC consultant? Yes Z Contract Type: <br /> (Check one)New Z Renewal F-1 Amendment El Effective Date____ Approved 6yBoard YeaE]NoZ Agenda Date: <br /> ____ <br /> Title oy Contract: <br /> _____ <br /> If this is a Grant Agreement, pre-application has been approved hythe Board of Commissioners Yemo NnZ. If submitted for bid were <br /> hido/BF9sr000ived YesFl NoZ and approved by the Department Director aotn <br /> technical content: <br /> 7F� <br /> Department Director's S Date: <br /> rector <br /> (Applicable only,mhur6wormtcfhvurepn,x6on or related cex)This contract has been reviewed and approved 6y the Information <br /> Technology Director uxto technical content undiofoonuhon1ecbonlog/mpeoificotiona: <br /> IT Director's Signature: Date: <br /> Risk Manaeemen <br /> Include the following coverages: [_� CGL; [] Auto; r_1 WC; [] Professional; Fj Property; OR No Insurance Reguired Z. Hold <br /> Contract pending receipt of Certificate of Insurance FT With incorporation of Insurance provisions as shown, this contract is approved <br /> by the Risk Manager: <br /> Risk Manager's Signature: da"t., A---- Date: �10 I <br /> Financial Services <br /> This Contract is conditioned upon appropriation by the Board of Commissioners YesE]NoZ. A budget amendment is necessary <br /> before approval YesF� NoZ. 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 Budgetand Fiscal Control ct, <br /> Financial Services Director's Signature: ya,� �, Au-� Date: to 2- <br /> County Attorney <br /> Approval by Board F1 (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[_� (Most other contracts$1,000 and above). Department Director approval only Z (Under <br /> $1,000). This contract has beeWviewed and approved by the Attorney as to legal form and sufficiency: <br /> Attorney's Signature Date: cqlll� <br /> County Manaze <br /> This contract has been reviewed and is approved by the County Manager Yes[]No[]. <br /> This contract has been reviewed and is for signature by the Chair YesMNoZ. <br /> Manager's Signature: Date: e <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 />