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: NC State University for/on behalf of Small Business and Technology Development Center(SBTDC) Party/Vendor <br /> Contact Person: Ron Ilinitch,Regional Director Contact Phone:919-962-0389 Party/Vendor Address:608 Airport Road, Ste B City <br /> Chapel Hill State:NC Zip:27514 Department:Economic Development Amount: $10,000.00 Purpose:To maintain a regional office in <br /> Orange Count providing general business consulting services,counseling in the areas of international trade,technology development and <br /> government procurement available to small firms and would-be entrepreneurs in Orange County_ Budget Code(s): 10600020-630000 <br /> Vendor#43308 (N/A if new vendor) Vendor is a BOCC consultant? Yes ❑No® Contract Type: (Check one)New❑ Renewal <br /> ® Amendment ❑ Effective Date July 1,2012 Approved by 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❑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: /0' A:P—/Z <br /> IT Dire or <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 Management <br /> Include the following coverages: ❑ CGL; ❑ Auto; ❑ WC; ❑ Professional; ❑ Property; OR No Insurance Required ER/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: �' `� ✓ Date: l Z <br /> Financial Services <br /> This Contract is conditioned u n appropriation by the Board of Commissioners Yes❑No[i� 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 d Fiscal Control ct: <br /> Financial Services Director's Signature: �`t^-� 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® (Most other contracts$1,000 and above). Department Director approval only❑(Under <br /> $1,000). This contract has been re iewed 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 YesENo❑. <br /> This contract has been reviewed and is for signature by the air Yes❑No2._� <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 />