Orange County NC Website
aol� --see,, <br /> 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 endor Address: <br /> 722 Cedar Point Blvd.Box 14 City Cedar Point State:NC Zip:28584 Department:Planning/OPT Amoun 7 5 0. Purpose: <br /> Software&Training Budget Code(s): 10435030-800006-,-10435020-740000 Vendor#26994 (N/A if new r Vendor is a BOCC <br /> consultant? Yes❑No® Contract Type: (Check one)New❑ Renewal® Amendment ❑ Effective Date Approved by <br /> Board Yes❑No❑ 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❑Non Bid/RFP number This contract has been reviewed and approved by the Department Director as to <br /> technical content: <br /> Department Director's Signatur . 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: I IT Director's Signature. Date: C)A z—' `2— <br /> Risk Management <br /> Include the following coverages: ❑ CGL; ❑ Auto; ❑ WC; ❑ Professional; ❑ Property; OR No Insurance Required [v 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: JJ . Date: <br /> -zm, i0l l5 <br /> Financial Services <br /> This Contract is conditioned pon appropriation by the Board of Commissioners Yes❑Noy A budget amendment is necessary <br /> before approval Yes❑No ✓F. 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: r <br /> Financial Services Director's Signature: Date: l Z <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.4(Most other contracts$1,000 and above). Department Director approval only❑(Under <br /> $1,000). This contract has been viewed d -approved by the Attorney as to legal form and sufficiency: <br /> Att rpey�ure Date: lb f 711t <br /> !! , „t' k l <br /> (� County Manag <br /> This contract has been reviewed and is approved by the County Manager Yer ❑. <br /> This contract has been reviewed and is for signature by the rair Yes❑No <br /> Manager's Signature: Date: <br /> Clerk to the Board <br /> Approved by BOCC on the_day of 0 Submitted for Chair signature on the_day of 120 <br /> Clerk's Signature: Date: <br /> Revised March 2012 <br />