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b IS-art 5 <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: CentuMl, Party/Vendor Contact Person: Jenn Burwell Contact Phone:252-212-3672 Party/Vendor Address: <br /> 143 N Washington St,4tb Floor City Rocky Mount State:NC Zip:27801 Department: Emergency Services Amount: $5,785.50/mo. <br /> Purpose: 9-1-1 Service Budget Code(s): 35755120540000 Vendor#32159 (N/A if new vendor) Vendor is a BOCC consultant? Yes <br /> ❑NoE] Contract Type:(Check one)New❑ Renewal 0 Amendment ❑ Effective Date 1-1-2013 Approved by Board Yes❑No <br /> ❑ Agenda Date: Title of Contract:Public Safety Regulated Services <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❑ BidfRFP 1) This c tract has been reviewed and approved by the Department Director as to <br /> technical content: <br /> Department Director's Signature: Date: SA X0_1.2 <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 Insurance Required M/Hold <br /> Contract pending receipt of Certificate of Insurance n. With incorporation of Insurance provisions as shown,this contract is approved <br /> by the Risk Manager: <br /> Risk Manager's Signature: 4--1 Date: <br /> 44 51 qlL- <br /> Financial Services <br /> This Contract is conditioned &ipon appropriation by the Board of Commissioners YesFINo[R/ 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 Con�o Act: <br /> Financial Services Director's Signature: 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 Ay Maqageritl(M <br /> .v ost other contracts$1,000 and above). Department Director approval only❑ (Under <br /> $1,000). This contract has be vie a approved by the Attorney as to legal form and sufficiency: <br /> Attorney's Signature Date: <br /> County Manager 1-1 <br /> This contract has been reviewed and is approved by the County Manager YesM No❑. <br /> This contract has been reviewed and is for air YesFJNQD�- <br /> Manager's Signature: Nr Dat '`2-V_/,-3— <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 />