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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:919-923-7500 Party/Vendor <br /> Address:238 Patriots Pointe Dr City Hillsborough State:NC Zip:27278 Department:IT Amount:$5,000 Purpose:Help Desk <br /> Sup oo Budget Code(s): 10315020/630000 Vendor#60921 (N/A if new vendor) Vendor is a BOCC consultant? Yes❑No® <br /> Contract Type:(Check one)New❑ Renewal® Amendment ❑ Effective Date 9/23/13 Approved by Board Yes❑No❑ <br /> Agenda Date: Title of Contract: <br /> If this is a Grant Agreement,pre-application has been ap ved by the Board of Commissioners Yes❑No❑. If submitted for bid were <br /> bids/RFPs received Yes❑No❑ Bid/RFP n r contract has been reviewed and approved by the Department Director as to <br /> technical content: <br /> Department Director's Signature: Date: 6 <br /> IT Director <br /> (Applicable only to hardware/software purchase4rela rvices)This contract has been reviewed and ap roved by the Information <br /> Technology Director as to technical content and chnology specifications: I <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 ❑. With 'incorporation of Insurance provisions as shown,this contract is approved <br /> by the Risk Manager: r-Pik.k 6 F C.a._-4- (. . <br /> Risk Manager's Signature: Date: <br /> -11 Z-7 <br /> Financial Services <br /> This Contract is conditioned <br /> qypon appropriation by the Board of Commissioners Yes❑NoE]/ A budget amendment is necessary <br /> before approval Yes❑No[M. 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: 1/ Date: l 3� l3 <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 reviewed and,Mpg ''y the Attorney as to legal form and sufficiency: <br /> Attorney's Signature — f � Date: 0, <br /> County Manager <br /> This contract has been reviewed and' pproved by the County Manager Yes[ No❑. <br /> This contract has been reviewe for i a air s❑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 />