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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: CenWULink Party/Vendor Contact Person: Jenn Burwell Contact Phone:252-212-3672 Party/Vendor Address: <br /> 143 N Washington St,4h Floor City Rocky Mount State:NC Zip:27801 Department:Emergency Services Amount: $6,636.00/mo. <br /> Purpose:9-1-1 Service Budget Code(s):35755124540000 Vendor#32159 (N/A if new vendor) Vendor is a BOCC consultant? Yes <br /> ❑No® Contract Type: (Check one)New❑ Renewal® Amendment ❑ Effective Date 1-1-2012 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❑ Bid/RFP number This ontract has been reviewed and approved by the Department Director as to <br /> technical content: <br /> Department Director's Signature: Date: ?( <br /> IT 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 Mannement <br /> Include the following coverages: ❑ CGL; ❑ Auto; ❑ WC; ❑ Professional; ❑ Property; OR No Insurance Required . 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: <br /> Risk Manager's Si nature: -� Date: z2� <br /> Financial Services <br /> This Contract is conditioned a on appropriation by the Board of Commissioners Yes❑NoQ� A budget amendment is necessary <br /> before approval Yes❑No[9If 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 Ac <br /> Financial Services Director's Signature: 4,=� /j" — , Date: 7.L <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 by Ma na er Qq'(Most other contracts$1,000 and above). Department Director approval only ❑ (Under <br /> $1,000). This contract has b vie d 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 Manager Y No <br /> This contract has been reviewed and is r 'gnature the C air Yes❑No <br /> Manager's Signature: Date: —z— <br /> LClerk 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 />