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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: Michael Lee Williams Party/Vendor Contact Person: Michael Lee Williams Contact Phone: 336-675-3442 <br /> PartyNendo Addres .414 imesville Rd City Burlingto n State:NC Zip:27215 Department:Orange County Emergency Services <br /> Amount: K5,000,.K se: To Provided Budget Code(s): Vendor# (N/A if new vendor) Vendor is a BOCC consultant? <br /> Yes❑ o ontract Type: (Check one)New® Renewal❑ Amendment ❑ Effective Date Approved by Board Yes❑ <br /> No® Agenda Date: Title of Contract:Paramedic Academy Training Agreement <br /> If this is a Grant Agreement,pre-application has been appro ed by the Board of Commissioners Yes❑No❑. If submitted for bid were <br /> bids/RFPs received Yes❑No❑ Bid/RFP nu ber is contract has been reviewed and approved by the partment 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 Management <br /> Include the following coverages: ❑ CGL; ❑ Auto; ❑ WC; ❑ Professional; ❑ Property; OR No Insurance Required [r 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 Signature: '��^� �` Date: 5 ZL 1 3 <br /> 5U41 is <br /> Financial Services <br /> This Contract is conditioned pon 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: �1.�"� ^�' � % ' 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 by Manager[(Most other contracts$1,000 and above). Department Director approval only❑ (Under <br /> $1,000). This contract has be --evie e d approved by the Attorney as to legal form and suZo u <br /> ' cy: 11� <br /> Attorney's Signature Date: <br /> County Manager <br /> This contract has been reviewed and is approved by the Co Manager Yes o❑. <br /> This contract has been reviewed a s' n r b t o a es❑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 120 <br /> Clerk's Signature: Date: <br /> Revised March 2012 <br />