Orange County NC Website
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 /> nt <br /> Party/Vendor Name: NC Department of Agri ulture an onsumer Servi es Party/Vendor Contact Person: N. David Smith Contact <br /> Phone: 919- -4 01 Party/Vendor Address: 16 Mail S City Raleigh State:NC Zip: 27699 Department: <br /> Amount: 9 209 Purpose: Protection, Development and Improvement of Forest Land in Orange County Budget Code(s): 10519550- <br /> 720011 # (N/A if new vendor) Vendor is a BOCC consultant? Yes ❑No® Contract Type: (Check one)New❑ <br /> Renewal ® Amendment ❑ Effective Date July 1,2013 Approved by Board Yes®No❑ Agenda Date: June 18,2013 Title of <br /> Contract: Agreement for the Protection Development and Improvement of Forest Land in Orange County NC <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 contract has been reviewed and approved by the Department Director as to <br /> technical content: <br /> Department Director's Signature: 1 - Date: 13 <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 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: �y <br /> Risk Manager's Signature: ��feC�.. i Date: 7[u <br /> Financial Services <br /> This Contract is conditioned ypon appropriation by the Board of Commissioners Yes❑No[q./ 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 A t: <br /> Financial Services Director's Signature: Date: 7/Z4/P3 <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 been reviewe approved by the Attorney as to legal form and sufficiency: <br /> Attorney's Signature Date: 7— 3/— <br /> County Manager <br /> This contract has been reviewed and is approved by the oy�fit ager Ye No❑. <br /> This contract has been reviewed and is fo si t e �Cha esL3NoF 1. <br /> 1 L <br /> Manager's Signature: Date: <br /> ,Clerk to the Board <br /> Approved by BOCC on the day of SubruitteJ for Chair signature on/the day of 20 V <br /> Clerk's Signature: Date: V l� <br /> Revised March 2012 <br />