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,:,7615-22Lt <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: EPlus Party/Vendor Contact Person: Melissa McGovern Contact Phone: 631 65 5 Party/Vendor Address: <br /> 13595 Dulles Technology Dr City Herndon State:VA Zip: 20171 Department: Amount• 14 40 urpose: IT Support Analyst <br /> II Budget Code(s): 10315020/63000 Vendor#60482 (N/A if new vendor) V_ n or is a BOCC nt? Yes❑No® Contract <br /> Type: (Check one)New�Renewal❑ Amendment ❑ Effective I �i,�roved by Board Yes❑No[] Agenda Date: <br /> Title of Contra <br /> If this is a Grant Agreement, pre-application has been a roved by the Board of Commissioners Yes❑No❑. If submitted for bid were <br /> bids/RFPs received Yes❑No❑ Bid/RFP number is contract 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 hardwarelsofh4 11 an cha es oYrted services)This contract has been reviewed and a proved by the Information <br /> Technology Director as to technica informatio�nitechnology specifications: ,( <br /> IT Director's Signature: 1 " � C4- L)CZ Date: t1 <br /> Risk Management <br /> Include the following coverages: ❑ C ; ❑ 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 Signature: Date: <br /> Financial Services <br /> This Contract is conditioned ypon 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: V��•�-�✓ /�' Date: S h 3 <br /> County Attorney <br /> Approval by Board ❑ (Contracts $901000.00 more for goods or services, $250,000.00 or more for construction, or any BOCC <br /> consultant contract). Approval by Manage (Most other contracts$1,000 and above). Department Director approval only ❑ (Under <br /> $1,000). This contract has been re e 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 Coun Manager Y <br /> This contract has been reviewed and is for signature b t e air Yes❑N <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 />