Orange County NC Website
.?013-a <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 /> D artment <br /> Party/Vendor Name: Proquest Party/Vendor Contact Pers : 47 99 Contact Phone: Party/Vendor Address: City <br /> State: Zip: Department:Library Amoun . 3930. Purpose:Database Budget Code(s): 10500020-750000 Vendor# <br /> 47499 (N/A if new vendor) Vendor is a BOCC con It . Yes❑No® Contract Type: (Check one)New® Renewal❑ <br /> Amendment ❑ Effective Date Approved by Board Yes❑No® Agenda Date: Title of 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 contract has been reviewed and approved by the Department Director as to <br /> technical content: <br /> Department Director's Signature: Date. ` v/3 <br /> T Director <br /> (Applicable only to hardware/software purchases or relat 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 Z. Hold <br /> Contract pending receipt of Certificate of Insurance E:1. With incorporation of Insurance provisions as shown,this contract is approved <br /> by the Risk Manager: <br /> Risk Manager's Signature: l/l /� � Date: 4413 <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 Act: <br /> Financial Services Director's Signature: (.G.e..t,�- �� >> Date: <br /> County Attorney <br /> Approval by Board ❑ (Contracts $90,000.00 or more for goods or services, $250,000.00 or mo cons •uc ion-, or_apy BOCC <br /> consultant contract). Approval anager® (Most other contracts$1,000 and above). Department Director approval only® (Under <br /> $1,000). This contract has bee evi wed proved by the Attorney as to legal form and sufficie cy: <br /> Attorney's Signature Date: <br /> County Manager <br /> This contract has been reviewed and is approved by the County Manager YosfTNo❑. <br /> This contract has been reviewed and is for signature by the gair Yes❑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 />