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: CNP Technologies Party/Vendor Contact Person: Jeremy Benoit Contact Phone: 704-927-6610 Party/Vendor <br /> Address: 806 Tyvola Rd,Suite 102 City Charlotte State:NC Zip:28217 Department: Emergency Services Amount: $14,524.00 <br /> Purpose:Replace UPS damaged by lightning Budget Code(s): 10230220-649100 Vendor#61491 (N/A if new vendor) Vendor is a <br /> BOCC consultant? Yes ❑NoZ Contract Type: (Check one)New Z Renewal ❑ Amendment F-1 Effective Date 08/21/12 <br /> Approved by Board Yes❑NoZ Agenda Date: Title of Contract:CNP Technologies <br /> If this is a Grant Agreement,pre-application has been approved by the Board of Commissioners Yes❑NoZ. 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 /> A. <br /> Department Director's Signature: (J7 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: Date: <br /> Risk Management <br /> Include the following coverages: E3 CGL; ❑ Auto; ❑ WC; ❑ Professional; El Property; OR No Insurance Required Ea 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 /> %ima - <br /> Financial Services <br /> This Contract is conditioned up6n appropriation by the Board of Commissioners YesnNo[E'. A budget amendment is necessary <br /> before approval Yes[]NoLg' 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 Bud t and Fiscal Control Act- <br /> Financial Services Director's Signature: V�L-, Date: Z_ <br /> ILI z <br /> County Attorney <br /> Approval by Board ❑ (Contracts $90,000,09 or more for goods or services, $250,000.00 or more for construction, or any BOCC <br /> consultant contract). Approv I by Manager K(Most other contracts$1,000 and above). Department Director approval only❑ (Under <br /> $1,000). This contract has revi ed and approved by the Attorney as to legal form and sufficiency: <br /> Attorney's Signature Date: Z X12 <br /> County Manaller <br /> This contract has been reviewed and is approved by the County Manager YesE�-NoD. <br /> This contract has been reviewed and is f, r ignature e Chair YesL;1K01-T <br /> Manager's Signature: PCIerk to the Board Date: <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 /> 1 <br />