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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: Fleetistics Party/Vendor Contact Person: Lynn Rios Contact Phone: 813-600-1738 Party/Vendor Address:2604 <br /> Cypress Ridge Blvd, Ste. 101 City Wesley Chapel, State:FL Zip: 33544 Department: Amount: $2.851.20 Purpose: 12 months <br /> of service to GPS sevices Budget Code(s): 10240320-630000 Vendor#58601 (N/A if new vendor) Vendor is a BOCC consultant? <br /> Yes ❑No® Contract Type: (Check one)New® Renewal❑ Amendment ❑ Effective Date September 1,2013 Approved by <br /> Board Yes❑No® Agenda Date: Title of Contract: <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: g ? <br /> IT Director <br /> (Applicable only to hardware/software purchases or related s rvi s)This contract has been reviewed and approved by the Information <br /> Technology Director as to technical content and information to ology specifications: <br /> IT Director's Signature: Date: <br /> Risk Management <br /> Include the following coverages: ❑ CGL; ❑ Auto; ❑ WC; Prg�.es anal; El 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: D' �_ 5 Risk Manager's Signature: (/( — ( Date: �S <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[VIf budget amendment is necessary,please attach to this form. This instrument has been pre-audited in the <br /> manner required by the Local Government Budge and Fiscal Control Act: <br /> i; <br /> Financial Services Director's Signature: t/ a. &7/511.7 <br /> A ,,, 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-❑'(1Vlost other contracts$1,000 and above). Department Director approval only❑ (Under <br /> $1,000). This contract has been evie,�wed and the Attorney as to legal form and sufficiency: <br /> Attorney's Signature 1 -� '� Date: <br /> r <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 th Chair 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 the_day of 20 <br /> Clerk's Signature: Date: <br /> Revised March 2012 <br />