Orange County NC Website
ORANGE COUNTY—CONTRACT CONTROL SHEET <br /> Routing Order: (1)Department,(2)IT,(3)Risk Management,(4)Financial Services,(5)Attorney,(b)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: CROWLEY MICROGRAPHICS Party/Vendor Contact Person: Co act Phone; Party/Vendor <br /> Address: City State: Zip: Department:Libr Amount: 441.50 rpose:BOOKS Budget Code(s): <br /> 10500020-750000 Vendor#59824 (N/A if new vendor) Vendor is a BOCC con It nt? s❑No® Contract Type:(Check one) <br /> New® Renewal❑ Amendment ❑ Effective Date Approved by Board Yes o® 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 ntract has been reviewed and approved by the Department Director as to <br /> technical content: <br /> Department Director's Signature: Date: <br /> I Director <br /> (Applicable only to hardwarelsoftware purchases or rela d s ices)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 E. 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: 6g/o Risk Manager's Signature: ^-� Date: <br /> Financial Services <br /> This Contract is conditioned upon appropriation by the Board of Commissioners Yes❑No®. A budget amendment is necessary <br /> before approval Yes❑No®. 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 ct: <br /> Financial Services Director's Signature: U�-� /VJ4, Date: 2S <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). Approva y Manager® (Most other contracts$1,000 and above). Department Director approval only ❑(Under <br /> $1,000). This contract has be iew d approved by the Attorney as to legal form and suffic'ency: <br /> Attorney's Signature Date: 13 <br /> Count Manager <br /> This contract has been reviewed and is approved by the County Manage m< <br /> Igo❑. <br /> This contract has been reviewed an or s' t by the Chair Yes❑N <br /> J�p <br /> Manager's Signature: Date: �( 7 <br /> Clerk to the Board <br /> Approved by BOCC on the T day of ,20 . Submitted for Chair signature on the day of ,20 <br /> Clerk's Signature: Date: <br /> Revised March 2012 <br />