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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: North Carolina Emergency Management Party/Vendor Contact Person: Doug Hoell,Director Contact Phone:919- <br /> 825-2500 Party/Vendor Address:4713 Mail Service Center City Raleigh State:NC Zip: 27699-4713 Department: Emergency Services <br /> Amount: Purpose: Emergency Management Program Budget Code(s): Vendor# (N/A if new vendor) Vendor is <br /> a BOCC consultant? Yes❑No® Contract Type: (Check one)New® Renewal❑ Amendment ❑ Effective Date <br /> Approved by Board Yes❑No® Agenda Date: Title of Contract:2012 Emergency Management Performance Grant <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: fie' <br /> �n <br /> Department Director's Signature: Date: D l <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 /> IT Director's Signature: Date: <br /> Risk Management <br /> Include the following coverages: ❑ CGL; ❑ Auto; ❑ WC; ❑ Professional; ❑ Property; ❑ OR No Insurance Required 9.. 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: w A 41, Date: 2- <br /> Financial Services <br /> This Contract is conditioned 4pon appropriation by the Board of Commissioners Yes❑NoE .. A budget amendment is necessary <br /> before approval Yes❑No[y. 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 Con 1 Act- <br /> Financial Services Director's Signature: y4_eC,-, Date: <br /> County Attorney <br /> Approval by Board ❑ (Contracts over $90,000.00 for goods or services, $250,000.00 for construction, or any BOCC consultant <br /> contract). Approval by Manag EX(All other contractsµ is contract has been reviewed approved by the Attorney as to legal <br /> form and sufficiency: f'u�'►dS er '- <br /> Attorney's Signature Date: -I IZ 1Z <br /> County Manager <br /> This contract has been reviewed and is approved by the County Manager Y No❑. <br /> This contract has been reviewed and is to be submi or BOCC consideration Yes❑NoE].— <br /> Manager's Signature: Date: <br /> CleA Ahe Board <br /> Approved by BOCC on the day of 20 S tted for Chair signature on t e day of 20 <br /> Clerk's Signature: Date: L— <br /> Revised April 2010 <br />