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o20 13- or),'-', 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 /> 10 3Q,:� ?SJ (.off <br /> Department <br /> Party/V dor Name: David Mathias Party/Vendor Contact Person: David Mathias Contact Phone:919-923-7500 Party/Ve <br /> adoT <br /> Address: 01 Orchid Plac te.NC Zip:27278 Department:Information Technologies Amount 2 500.0 <br /> Purpose: es on Support and Upgrades Budget Codes : 3000 Vendor#60921 (N/A if new vendor) Vendor is BOCC c sultant? <br /> Yes❑No® Contract Type:(Check one)New® Renewal❑ Amendment ❑ Effective Date 03/06/2013 Appro ed oard Yes <br /> ❑No❑ Agenda 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 Yes❑No[-] Bid/RFP numb e This contract has been reviewed and approved by the Department Director as to <br /> technical content: <br /> Department Director's Signature: V Jd 6� Y Oa Date: <br /> IT Director <br /> (Applicable only to hardware/software chases elated services)This contract has been reviewed and approved by the Information <br /> Technology Director as to technical con nt d o ation technology specifications: <br /> fl <br /> IT Director's Signature: 00 I ate: <br /> Risk Management <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: �a /d"" Date: <br /> Financial Services <br /> This Contract is conditioned upon appropriation by the Board of Commissioners Yes❑Now A budget amendment is necessary <br /> before approval Yes❑NoM. 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: 2 <br /> Financial Services Director's Signature: <br /> l/1 CGS(,,, JJ , / Date: J 7-13_ <br /> County Attorney <br /> Approval by Board ❑ (Contracts $90,000.00 prinore for goods or services, $250,000.00 or more for construction, or any BOCC <br /> consultant contract). Approval by Manage (Most other contracts$1,000 and above). Department Director approval only❑(Under <br /> $1,000). This contract has be7ei =dby Attorney as to legal form and suffi77ciency: <br /> Attorney's Signature - Date: 3 <br /> County Manager <br /> This contract has been reviewed and is approved by the County Manager Yes No❑. <br /> This contract has been reviewed and is for signatur by Chair Yes❑No <br /> Manager's Signature: 0 Date: ^c �` <br /> Clerk to the Board <br /> Approved by BOCC on the_day of 120 Submitted for Chair signature on the_day of 120 <br /> Clerk's Signature: Date: <br /> Revised March 2012 <br />