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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: David Mathias Party/Vendor Contact Person: David Mathias Contact Phone 919- 0 Party/Vendor <br /> Address:238 Patriots Point Dr. City Hillsborough State:NC Zip:27278 Department: IT Amount: 1 0 urpose: Help Desk <br /> Analyst Budget Code(s): 10315020/630000 Vendor#60921 (N/A if new vendor) Vendor is a B on <br /> OC csultant? Yes ❑No® <br /> Contract Type: (Check one)New❑ Renewal ® Amendment ❑ Effective Date 1111tS Approved by Board Yes❑No❑ <br /> Agenda Date: Title of Contract: <br /> If this is a Grant Agreement,pre-applicatio s been a proved the Board of Commissioners Yes❑No❑. If submitted for bid were <br /> bids/RFPs received Yes[]No❑ Bid/RFP u er This c tract has been reviewed and approved by the Department Director as to <br /> technical content: <br /> Department Director's Signature: Date: / 3 <br /> IT Director / <br /> (Applicable only to hardware/software purchas relate ervices)This contract has been review; and approved by the Information <br /> Technology Director as to technical cont t an in rmation t hnology specifications: / <br /> IT Director's Signature: Date. <br /> Risk Management <br /> Include the following coverages: ❑ CGL; Auto; El WC; El Professional; El Property; OP, No Insurance Required [' Hold <br /> Contract pending receipt of Certificate of Insurance E]. With incorporation of Insurance provisions as shown,this contract is approved <br /> by the Risk Manager: /j / <br /> Risk Manager's Signature: mil ► /P�l Date: �r <br /> Financial Services <br /> This Contract is conditioned Won appropriation by the Board of Commissioners Yes❑Nop"' A budget amendment is necessary <br /> before approval Yes❑NoIf 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: It-3 Financial Services Director's Signature:' � /�J. �� Date: 117/' <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 /> le <br /> consultant contract). Approval by Manager (Most other contracts$1,000 and above). Department Director approval only❑ (Under <br /> $1,000). This contract has 7eviewed !pproved by the Attorney as to legal form and sufficiency: 2 <br /> Attorney's Signature Date: <br /> County Manager <br /> This contract has been reviewed and is approved by the County Manager YesjZ No[]. <br /> This contract has been reviewed and is for si ture by the C it 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 tt.e day of 120 <br /> Clerk's Signature: Date: <br /> Revised March 2012 <br />