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: Ferrell Firm, P.C.. Party/Vendor Contact Person: Brian Ferrell. Contact Phone: (919) 883-4960. Party/Vendor <br /> Address: P.O. Box 16564. City Chapel Hill. State: NC Zip: 27516 Department: DEAPR Amount: $1,000 (not to exceed) Purpose: <br /> Legal Services for the Books land donation Budget Code(s): Vendor#59665 (N/A if new vendor) Vendor <br /> is a BOCC consultant? Yes ❑No® Contract Type: (Check one)New® Renewal ❑ Amendment ❑ Effective Date 12/20/12. <br /> If this is a Grant Agreement, pre-application has been approved by the Board of Commissioners Yes No . If submitted forbid <br /> were bids/RFPs received Yes❑ No❑. Bid/RFP number This contract has been reviewed and approved by the Department <br /> Director as to technical content: <br /> Department Director's Signature: Date: <br /> IT Director <br /> (Applicable only to hardware/so repurchases or rel ed services)This con as been viewed and approved b ation <br /> Technology Director as t nical content and info ation technolo ecifications: <br /> IT Director' ignature: <br /> Risk Management <br /> Include the following coveraQ CGL; ❑ Au ; ❑ WC; ❑ Professiona rope ; ❑ OR No Insurance Required ❑. Hold <br /> Contract pending recei Certificate of Insuran ❑. With incorp on of Insura provisions as shown, this con pproved <br /> by the Risk Man <br /> Risk Manager's Signature: e: <br /> Financial Services <br /> This Contract is conditioned upon appropriation by the Board of Commissioners Yes❑NoV A budget amendment is necessary <br /> ❑ <br /> before approval Yes NoIf 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: <br /> lil.W` <br /> Financial Services Director's Signature: 41 . ''� Date: <br /> County Attorney <br /> Approval by Board ❑ (Contracts over $25,000.00 or any BOCC consultant contract). Approval by Manager_lfi contracts <br /> $25,000.00 or less with the exception of BOCC consultants). This contract has been reviewed and approved by the Attorney as to legal <br /> form and sufficiency: <br /> Attorney's Signature � Date: <br /> County Manager r' <br /> This contract has been reviewed and is approved by the County Manager Yes No❑. <br /> This contract has been reviewed and is to be submitt dofor considerati n Yes❑No� <br /> Manager's Signature: " Date: <br /> g g <br /> Clerk to the Board <br /> Approved by Board Yes[]No❑ Agenda Date: <br /> Clerk's Signature: Date: <br />