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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: Friends of Museum Party/Vendor Contact Person: Contact Phone: Party/Vendor Address: <br /> City— State:– Zip:— Department:Library a <br /> Amount: $90 Purpose: Progrmmin Budget Code(s): 10500020-630000 <br /> Vendor#_ (N/A if new vendor) Vendor is a BOCC consultant? Yes❑Noo Contract Type:(Check one)New Z Renewal <br /> ❑ Amendment ❑ Effective Date. Approved by Board YesE]NoZ Agenda Date: Title of Contract: <br /> If this is a Grant Agreement,pre-application has been approved by the Board of Commissioners Yes❑No[D. If submitted for bid were <br /> bids/RFPs received YesE]No[D Bid/RFP number This contract has been reviewed and approved by the Department Director as to <br /> technical content: <br /> Department Director's Signature: V�_�ate: 6 <br /> IT Director <br /> (Applicable only to hardwarelsoftware 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 Manaaement <br /> Include the following coverages. ❑ CGL; ❑ Auto; ❑ WC; ❑ Professional; ❑ Property; OR No Insurance Required Z. 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: j 13 <br /> Financial Services <br /> This Contract is conditioned upon appropriation by the Board of Commissioners Yes❑No[g. A budget amendment is necessary <br /> before approval Yes❑Noo. 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: <br /> 1.1 <br /> Financial Services Director's Signature: Uiw, -44 Date: 7 3 <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 Z(Under <br /> $1,000). This contract has been reviewed and approved by the Attorney as to legal form and sufficiency: <br /> Attorney's Signature -A" Date: '4Z6J,3 <br /> County Manager <br /> This contract has been reviewed and is approved by the County Manager Yes❑NoE. <br /> This contract has been reviewed and is for sigma E]No[D. <br /> Manager's Signature: 7wr Date: L <br /> Jerk 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 /> 1 <br />