Orange County NC Website
Browse       Search
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: Piedmont Wildlife Center Party/Vendor Contact Person: Contact Pho k ty/Vendor Address: <br /> 364 Leigh Farm Rd. City Durham State:NC Zip:27707/489-0900 Department:Library Amo t: 300 e:Programming <br /> Budget Code(s): 10500020-630000 Vendor#51232 (N/A if new vendor) Vendor is a BO co ❑No® Contract <br /> Type:(Check one)New® Renewal❑ Amendment ❑ Effective Date Approved by and Yes❑No® Agenda Date: <br /> 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 n ber This cg#ract has been reviewed and approved by the Department Director as to <br /> technical content: <br /> Department Director's Signature: Date: <br /> Di�77 <br /> t or <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 Management <br /> Include the following coverages: ❑ CGL; ❑ Auto; ❑ WC; ❑ Professional; ❑ Property; OR No Insurance Required E. 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: t"-' Date: 2�t/- t3 <br /> z1zo11-2� <br /> Financial Services <br /> This Contract is conditioned upon appropriation by the Board of Commissioners Yes❑No®. A budget amendment is necessary <br /> before approval Yes[:]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 Bud/get and Fiscal Control Act: <br /> III <br /> A <br /> Financial Services Director's Signature: 6-q e%A - 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 bee eviewed and approved by the Attorney as to legal form and sufficienc : <br /> Attorney's Signature Date: �3 <br /> County Manner <br /> This contract has been reviewed and is approved by the County Njjanager Yes❑No®. <br /> This contract has been reviewed and is for signau7l th Y No®. <br /> Manager's Signature: Date: J ' <br /> /0_ rk 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 />