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a <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: Dispute Settlement Center PartyNendor Contact Person: Francis R6_nde_r n Contact Phone: Party/Vendor <br /> Address:— City— State:_ Zip:_ Department: Amount: 0 000 ose:_ Budget Code(s): <br /> Vendor#_ (N/A if new vendor) Vendor is a BOCC consultant? Yes❑No 1C. ct Type:(Check one)New ❑ Renewal <br /> ❑ Amendment r_1 Effective Date_ Approved by Board Yes❑No Agdh7a 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 YesFl 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:1 rk-,, C4W4, pq-,-A- 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: <br /> IT Director's Signature: Date: <br /> /Risk Magagement <br /> Include the following coverages: � CGL; d Auto; R WC; 0 Professional; ❑ Property; OR No Insurance Required Fl. Hold <br /> Contract pending receipt of Certificate of Insurance Fl. With incorporation of Insurance provisions as shown, this contract is approved <br /> by the Risk Manager: <br /> Risk Manager's Signature:-.... Date: 2-11-13 <br /> Financial Services <br /> This Contract is conditioned on appropriation by the Board of Commissioners Yes❑No[E'.'* A budget amendment is necessary <br /> before approval YesD No[. 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 /> Financial Services Director's Signature: .4 AV— Date: <br /> County Attorney <br /> Approval by Board E] (Contracts $90,O)V. 0more for goods or services, $250,000.00 or more for construction, or any BOCC <br /> consultant contract). Approva anagt (Most other contracts$1,000 and above). Department Director approval only❑(Under <br /> $1,000). This contract has bee rev wed d+oved by the Attorney as to legal form and sufficlencyl <br /> Attorney's Signature Date: 17S <br /> County Manazer <br /> 0, <br /> by the County lAanager e 3. <br /> 0 <br /> This contract has been reviewed and is for si CSEI'NV <br /> This contract has been reviewed and is approved <br /> Manager's Signature: Tv;r Date: <br /> LI/ <br /> Clerk to the Board <br /> Approved by BOCC on the day of Submitted for Chair signature on the day of 20 <br /> Clerk's Signature: Date: <br /> Revised March 2012 <br />