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: IFC Party/Vendor Contact Person: Chris Moran Contact Phone: 919-929-6380 Party/Vendor Address: 110 West <br /> Main St City Carrboro State:NC Zip:27510 Department: DSS Amount: $60,590 Purpose: Emergency Solutions Grant Budget <br /> Code(s): 304030 Vendor# (N/A if new vendor) Vendor is a BOCC consultant? Yes ❑No® Contract Type: (Check one) <br /> New® Renewal ❑ Amendment ❑ Effective Date 10/01/12 Approved by Board Yes®No❑ Agenda Date: 01/24/13 Title of <br /> Contract: Emergency Solutions Grant <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 number This contract has been reviewed and approved by the Department Director as to <br /> technical content: <br /> Department Director's Signature: Lam' 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 Manggement <br /> Include the following coverages: [d CGL; V Auto; ❑ WC; Professional; ❑ Property; OR No Insurance Required El. 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: A-t" &44-j Risk Manager's Signature: Date: 3-1 Eq-3 <br /> Financial Services <br /> This Contract is conditioned upon appropriation by the Board of Commissioners Yes❑No[�]� A budget amendment is necessary <br /> ❑ <br /> before approval Yes No[ZIf 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:/� p <br /> Financial Services Director's Signature: ""1't4_', -91 Date: <br /> County Attorney <br /> Approval by Board ❑ (Contracts $90,000. 0 or more for goods or services, $250,000.00 or more for construction, or any BOCC <br /> consultant contract). Approval b Manager�f (Most other contracts$1,000 and above). Department Director approval only ❑ (Under <br /> $1,00 This contrast as been e iew and approved by t e A orney as to Jegal form and sufficiency: <br /> Attorney's Signature Date: �J <br /> County Manager <br /> This contract has been reviewed and is approved by the County Manager �NoD. <br /> This contract has been reviewed and is fo natur b t Chair Ye No❑. <br /> Manager's Signature: Date: <br /> Clerk 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 />