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: Time Warner Cable Party/Vendor Contact Person: Ken Bearden Contact Phone:(919)654-7647 Party/Vendor <br /> Address: 101 Innovation Ave City Morrisville State:NC Zip:27560 Department: Information Technology Amount: $1559.34/mo+ <br /> 1199.70 Purpose:Provision Wifi at Courts Facilities Budget Code(s): General Fund 10700020 Vendor#30615 <br /> (N/A if new vendor) Vendor is a BOCC consultant? Yes❑No❑ Contract Type:(Check one)New® Renewal❑ Amendment <br /> ❑ Effective Date Approved by Board Yes❑No® Agenda Date: Title of Contract: 36 month service lease <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 Signatur771 T�� -5—_ Date: 41' '1 2— <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 /> !2u 5�' a g Z <br /> IT Director's Signature: Date: ` '� ' <br /> Risk Management <br /> Include the following coverages: ❑ CGL; ❑ Auto; ❑ WC; ❑ Professional; ❑ Property; OR No Insurance Required [E� 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: f Date: D Z <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❑NoFA. 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 Con of Act: <br /> A <br /> Financial Services Director's Signature: as ,v Date: z ( lZ <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 P (Most other contracts$1,000 and above). Department Director approval only❑ (Under <br /> $1,000). This contract has bee reviewed and approved 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 Y <br /> This contract has been reviewed and is for signature the Chair Yes❑I � <br /> Manager's Signature: Date: <br /> C erk 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 />