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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: North Carolina Emregency Management Party/Vendor Contact Person: Mike Sprayberry Contact Phone:919- <br /> 825-2500 Party/Vendor Address: 1636 Gold Star Drive City Ralei h State:NC Zip:27607 Department:EM Amount: 1.4877.88 <br /> Purpose: Emergency Management Performance Grant Budget Code(s):_ Vendor#_(N/A if new vendor) Vendor is a BOCC <br /> consultant? Yes❑No® Contract Type:(Check one)New® Renewal❑ Amendment ❑ Effective Date_Approved by Board <br /> Yes❑No® Agenda Date:_Title of Contract:Emergency Management Performace Grant 2012 Cost Report 2 <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 nu ber_This con t has been reviewed and approved by the Department Director as to <br /> technical content: <br /> Department Director's Signature: Date: .3A5 Q) <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 Management <br /> Include the following coverages: ❑ CGL; ❑ Auto; ❑ WC; ❑ Professional; ❑ Property; OR No Insuranco_Bequired N�. 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: C G✓ ✓� �—�--� Date: 3�2-4—i/ <br /> 3 <br /> Txa;— . sl .tc <br /> Financial Services <br /> This Contract is conditioned ypon appropriation by the Board of Commissioners Yes❑No[!?/ A budget amendment is necessary <br /> before approval Yes❑NoZ. 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: `" A,. <br /> 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 b Manager((Most other contracts$1,000 and above). Department Director approval only❑(Under <br /> $1,000). This contract has bee re iew approved by the Attorney as to legal form and suffici ncy• <br /> Attorney's Signature Date: { <br /> County Manager <br /> This contract has been reviewed and is approved by the County Manager Ye.0 No❑. <br /> This contract has been reviewed and is for signature by the Chair Yes❑No� <br /> Manager's Signature: &VVA Date: �1—f <br /> `Clerk to the Board <br /> Approved by BOCC on the_day of ,20 . Submitted for Chair signature on the J day of ,20 <br /> Clerk's Signature: Date: <br /> Revised March 2012 <br />