Orange County NC Website
ZOO- 3 U 0 <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: Signs Now Party/Vendor Contact Person: John Stokes Contact Phone: 919-929-0702 Party/Vendor Address: <br /> 1322 Fordham Blvd. #5 City Chapel Hill State:NC Zip:27514 Department: Asset Management Services Amount: $2,186.52 Purpose: <br /> Titled Signs for Orange County Government Services Annex/Board of Elections Buildine Budget Code(s): 10240320-620000 Vendor# <br /> 400883 (N/A if new vendor) Vendor is a BOCC consultant? Yes ❑No® Contract Type: (Check one)New ® Renewal ❑ <br /> Amendment ❑ Effective Date August 23,2013 Approved by Board Yes❑No® Agenda Date: Title of Contract: GSA- <br /> Signs <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: Date: 3 <br /> T Dir or <br /> (Applicable only to hardware/software purchases or related sere s)This contract has been reviewed and approved by the Information <br /> Technology Director as to technical content and informatio chno y specifications: <br /> IT Director's Signature: Date: <br /> Risk Management <br /> Include the following coverages: fZ CGL; fK Auto; ® WC; ❑ Professional; E] 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: �,�,_ 0 Date: �.f <br /> �- <br /> Financial Services <br /> This Contract is conditioned on 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: u � 'J. --- Date: 81-27113 <br /> County Attorney <br /> Approval by Board ❑ (Contracts $90,000.00 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 rev' wed an roved 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 Yes No❑. <br /> This contract has been reviewed and is for signature by t C Yes❑No <br /> Manager's Signature: Date: <br /> k 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 />