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: CTS Software Party/Vendor Contact Person: HuckVemters Contact Phone: 800-555-3546 Party/Vendor Address: <br /> 722 Cedar Point Blvd.Box 14 City Cedar Point State:NC Zip:28584 Department:Plannin OPT Amount: 7 500.00 Purpose: <br /> Software&Trainine Budget Code(s): 10435030-800006.--10435020-740000 Vendor#26994 (N/A if new vendor) Vendor is a BOCC <br /> consultant? Yes❑No® Contract Type:(Check one)New❑ Renewal® Amendment ❑ Effective Date Approved by <br /> Board Yes❑Non 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 hardwarefsoftware purchases or related services)This contract has been reviewed and approved by the Information <br /> Technology Director as to technical content and technology specifications: <br /> IT Director's Signature:�,� ' � ',47� —. Dater'' ` <br /> Risk Management <br /> Include the following coverages: ❑ CGL; ❑ Auto; ❑ WC; ❑ Professional; ❑ Property; OR No Insurance Required 1!3/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: kllr.� � Date: 4 t,2 <br /> Financial Services <br /> This Contract is conditioned on appropriation by the Board of Commissioners Yes❑No� A budget amendment is necessary <br /> before approval Yes❑NoM.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 Budge and Fiscal Control Act: Q <br /> Financial Services Director's Signature: Ar-- - Date: <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 CK(Most other contracts$1,000 and above). Department Director approval only❑(Under <br /> $1,000). This contract has been rev' wed and approved by the Attorney as to legal form and sufficiency: <br /> Attorney's Signature Date: /O f0 !-e <br /> County Manager <br /> This contract has been reviewed and is approved by the County Manager <br /> This contract has been reviewed and is for signat a by the Chair s o <br /> Manager's Signature: Date: <br /> �— <br /> /lerk to the Board <br /> Approved by BOCC on the—day of Submitted for Chair signature on the_day of 120 <br /> Clerk's Signature: Date: <br /> Revised March 2012 <br />