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: Business North Carolina Party/Vendor Contact Person: Melanie Lynch Contact Phone:9198559380 <br /> Party/Vendor Address:5605 77 Center Drive,Suite 101 City Charlotte State:NC Zip:28217 Department:Economic Development <br /> Amount: $2,000.00 Purpose:Advertisement in Economic Development Guide Budget Code(s): 10600020-600000 Vendor#N/A (N/A <br /> if new vendor) Vendor is a BOCC consultant? Yes r_1 Noo Contract Type:(Check one)New[D Renewal❑ Amendment ❑ <br /> Effective Date August 15,2012 Approved by Board Yes❑No[D Agenda Date: Title of Contract: <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 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: Date: <br /> Risk Manazement <br /> Include the following coverages: ❑ CGL; ❑ Auto; ❑ WC; ❑ Professional; F-1 Property; OR No Insurance Required ly,Hold <br /> Contract pending receipt of Certificate of Insurance Fl. With incorporation of Insurance provisions as shown,this contract is approved <br /> by the Risk Manager: <br /> Risk Manager's Signature: Date: (�Z <br /> 9z-zk=. aim <br /> Financial Services <br /> This Contract is conditioned 100n appropriation by the Board of Commissioners YesE]NoE9// A budget amendment is necessary <br /> before approval YesF1 NoET 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 Control Act: <br /> Financial Services Director's Signature: Date:A/ <br /> County Attorney <br /> Approval by Board ❑ (Contracts $90,000.00-9-D mo or services, $250,000.00 or more for construction, or any BOCC <br /> consultant contract). Approval by Manager Lvf st other contracts$1, and above). Department Director approval only❑(Under <br /> �00 <br /> $1,000). This contract has been viewed and a prov the Attorney as to gal form and sufficiency: <br /> Attorney's Signature Date:County <br /> nager <br /> This contract has been reviewed and is approved by the County <br /> This contract has been reviewed and is for signature by th hair Yes❑No <br /> Manager's Signature: o Date: <br /> Clerk to the Board <br /> Approved by BOCC on the day of 20 Submitted for Chair signature on the day of 120 <br /> Clerk's Signature: <br /> Date: <br /> Martin Starnes&Associates,CPAs,P.A. <br /> Revised March 2012 <br />