Orange County NC Website
ORANGE COUNTY—CONTRACT CONTROL SHEET <br /> tder: (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: C 911 Bo rState:endor Contact Person: Richard Taylor Contact Phone:919-981- 8 Nendor <br /> Address:PO Box 17 09 ei NC Zip:27609 Department:Emergency_Services Amoun • 625 rpose:911 <br /> System Upgrades Bu ode(s):61-370035-800000 Proj 30061 Vendor#N/A (N/A if new vend is a BOCC consultant? <br /> Yes❑Non Contract Type:(Check one)New® Renewal❑ Amendment Q Effective Date Approved by Board Yes[] <br /> No® Agenda Date:09/17/2013 Title of Contract:911 Board Grant Agreement <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 ber T ' ontract has been reviewed and approved by the Department Director as to <br /> technical content: <br /> Department Director's Signature: Date: Dl a <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 ff.'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: n <br /> Risk Manager's Signature: Date: <br /> Financial Services <br /> This Contract is conditioned 916n appropriation by the Board of Commissioners Yes❑No[. A budget amendment is necessary <br /> before approval Yes❑NoLV. 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 <br /> and��Fiscal Contr I Act: <br /> Financial Services Director's Signature: (N zv �• Date: 113 <br /> 1 <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). Approva b Manager❑ (Most other contracts$1,000 and above). Department Director approval only❑(Under <br /> $1,00��0). Thicontract �as bbe ewed and approved by the Attorney as to legal form and sufficiency: 'Baxe-A ��,.WAZ f <br /> Attorney's Signature f{� Date: '! 26 <br /> County Mana¢er <br /> This contract has been reviewed and is approved by the County Man ager Yes o❑. <br /> This contract has been reviewed and is for signature by th air Yes❑No <br /> Manager's Signature: DIM 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 />