Orange County NC Website
VA <br /> 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: Arty Party/Vendor Contact Person: F.Muse Contact Phone: 919 742 6611 Party/Vendor Address: <br /> PO Box 12611 City Durham State:NC Zip: 27709 Department: CSE Amount: $10,000 Purpose: CSE legal services Budget Code(s): <br /> 1044002063400 Vendor# (N/A if new vendor) Vendor is a BOCC consultant? Yes❑No❑ Contract Type:(Check one) <br /> New F-1 Renewal ❑ Amendment ❑ Effective Date 07/01/2013 Approved by Board Yes❑No❑ Agenda Date: Title of <br /> 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 number This contract has been reviewed and approved by the Department Director as to <br /> technical content: <br /> Department Director's Signature: Date: <br /> UIT 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 Management <br /> Include the following coverages: ❑ CGL; ❑ Auto; ❑ WC; ❑ Professional; ❑ Property; OR No Insurance Required UK Hold <br /> Contract pending receipt of Certificate of Insurance M. With incorporation of Insurance provisions as shown,this contract is approved <br /> by the Risk Manager: <br /> Risk Manager's Signature: Date:Aqu <br /> Financial Services <br /> This Contract is conditioned <br /> d_Aon appropriation by the Board of Commissioners YesF�NoEg"' A budget amendment is necessary <br /> before approval YesE]No[y. 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 dget and Fiscal Control Act: <br /> /a,4-C, <br /> Financial Services Director's Signature: V Date: <br /> County Attorney <br /> Approval by Board F-1 (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 Z(Most other contracts$1,000 and above). Department Director approval only ❑ (Under <br /> $1,000). This contract has been revie d and approved by the Attorney as to legal form and sufficiency: <br /> Attorney's Signature. Date: <br /> County Manager <br /> This contract has been reviewed and is approved by the County Wnager Ye <br /> This contract has been reviewed and is for signature by th Y []No <br /> Manager's Signature: 'n W I Date: V_ <br /> Cl k 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 />