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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: Time Warner Cable Party/Vendor Contact Person: Amber Mullen Contact Phone:(910)772-5786 Party/Vendor <br /> Address:2206 Wrightsville Ave City Wilmington State:NC Zip:28403 Department: Amount: $12,302.50/mo Purpose: <br /> Leasing for Fiber Network Budget Code(s): 10315020/5400 1 0 Vendor#30615 (N/A if new vendor) Vendor is a BOCC consultant? <br /> Yes❑No❑ Contract Type: (Check one)New❑ Renewal ® Amendment ❑ Effective Date Upon signature Approved by Board <br /> Yes®No0 Agenda Date:Budget Meetings Title of Contract:Lease <br /> If this is a Grant Agreement,pre-application has been approved by the Board of Commissioners Yes[]Nor-1. If submitted for bid were <br /> bids/RFPs received Yes❑Non Bid/RFP number This contract has been reviewed and approved by the Department Director as to <br /> technical content: <br /> Department Director's Signature: Date: �� <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: � Dater <br /> I isk Mana ement <br /> Include the following coverages: E�CGL; [Auto; WC; 'Professional; ❑ Property; OR No Insurance Required ❑. Hold <br /> Contract pending receipt of Certificate of Insurance Id With incorporation of Insurance provision.,as shown,this contract is approved <br /> by the Risk Manager: <br /> Risk Manager's Signature: �' I Date: �tQ <br /> glaie, <br /> Financial Services <br /> This Contract is conditioned Won appropriation by the Board of Commissioners Yes❑No[s"', A budget amendment is necessary <br /> before approval Yes❑No[g. 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 <br /> and Fiscal Control Acct::Financial Services Director's Signature: j v'�^'t Date: S/7,417, <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❑ (Most other contracts$1,000 and above). Department Director approval only❑(Under <br /> $1,000). This contract has been re ewed a oved by the Attorney as to legal form and sufficiency: <br /> Attorney's Signature Date: <br /> County Manager <br /> This contract has been reviewed and is approved by the County Manager YesEfr`No❑. <br /> This contract has been reviewed and is for signature by the Chair Yes❑No❑i: C' <br /> Manager's Signature: Date: <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 />