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: Breezy Oaks Farm Party/Vendor Contact Person: Andrew Magilone Contact Phone:919-270-0010 Party/Vendor <br /> Address:469 Woodview Drive City Chatham State:VA Zip:24531 Department: Economic Development/PFAP Amount: <br /> Purpose:Use of facility Budget Code(s): Vendor# (N/A if new vendor) Vendor is a BOCC consultant? Yes❑NoZ <br /> Contract Ty­ C_heck one)New Z Renewal❑ Amendment ❑ Effective Date 1/23/12 Approved by Board Yes❑Noff <br /> Agenda Date:NA Title of Contract: User Services Contract <br /> If this is a Grant Agreement,pre-application has been approved by the Board of Commissioners Yes❑NoM. 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:7ZL t, 61 Date: <br /> IT Director <br /> �A <br /> Ir <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 /> "do -"'jh0*`Risk Manazement <br /> Include the following coverages: L_tj CGL; ❑ Auto; ❑ WC; ❑ Professional; ❑ Property; ❑ OR No Insurance Required ❑. Hold <br /> Contract pending receipt of Certificate of Insurance El. With incorporation of Insurance provisions as shown,this contract is approved <br /> by the Risk Manager: <br /> Risk Manager's Signature:4wl&c] Date: (Z' <br /> file e rte e, I-Ij <br /> Financial Services <br /> This Contract is conditione,,da A budget amendment is necessary <br /> ,upon appropriation by the Board of Commissioners YesFlNoy. <br /> before approval YesE:1 Nojjj. 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:Ah, w J,, At4_.� Date: <br /> County Attorney <br /> Approval by Board ❑ (Contracts aver.$90,000.00 for goods or services, $250,000.00 for construction, or any BOCC consultant <br /> contract). Approval by Manager A61 other contracts). This contract has been reviewed and approved by the Attorney as to legal <br /> form and sufficiency: <br /> Attorney's Signature --• Date: <br /> County Manager <br /> Y�This contract has been reviewed and is approved by the County Manager No❑. <br /> This contract has been reviewed and is to be nu d for B consideration Yes❑N� <br /> Manager's Signature: Date: <br /> Jerk to the Board <br /> Approved by BOCC on the day of 20 Submitted for Chair signature on the day of 120 <br /> Clerk's Signature: Date: <br /> Revised April 2010 <br />