Orange County NC Website
Browse       Search
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: NCDOT Party/Vendor Contact Person: Mr.Charlie C.Wright.Financial Manager Contact Phone: 919-707-4674 <br /> Party/Vendor Address: Transportation Building 1 S Wilmington St Room 524 City Raleigh State:NC Zip:27699 Department: <br /> Planning&Inspections/OPT Amount:$R.00 Purpose:NC CTP Administrative Grant Budget Code(s): Vendor# (N/A if <br /> new vendor) Vendor is a BOCC consultant? Yes❑Non Contract Type:(Check one)New❑ Renewal❑ Amendment ❑ <br /> Effective Date Approved by Board Yes®No❑ Agenda Date: 1/24/2012 Title of Contract:Nonurbanized Area Public <br /> Transportation Grant Agreement for Public Body Organizations Community Transportation Program-Section 5311 <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 Signatu <br /> IT Director <br /> (Applicable only to hardwarelsoftware 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 Re uired- . 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: A Date: �Z~ <br /> Financial Services <br /> This Contract is conditioned u n appropriation by the Board of Commissioners Yes❑Nod A budget amendment is necessary <br /> before approval Yes❑No�f 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 ct: <br /> Financial Services Director's Signature: Date: <br /> County Attorney <br /> Approval by Boar (Contracts $90,000.00 or more for goads 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 r view d approved by the Attorney as to legal form and sufficiency: <br /> Attorney's Signature --•e Date: <br /> County Manager <br /> This contract has been reviewed and is approved by the County Manager Yesf�"No❑. <br /> This contract has been reviewed and is for signatpre7& air YesERNo❑. <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 />