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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: Point&Pay,LLC Party/Vendor Contact Person: Patty Melton Contact Phone: 916-467-7283 Party/Vendor <br /> Address: 110 State St East, Suite D City Oldmar State:NC Zip: 34677 Department: Tax Administration Amount: 0.00 Purpose:To <br /> provide electronic payment service over the counter credit card payments in the office. There will be no additonal cost or reduced revenue <br /> to the County. The payer incurs the cost for the transaction. Budget Code(s): 10335020-630000 Vendor#N/A (N/A if new vendor) <br /> Vendor is a BOCC consultant? Yes❑No[] Contract Type: (Check one)New® Renewal ❑ Amendment ❑ Effective Date <br /> October 15,2013 Approved by Board Yes❑No❑ Agenda Date: Title of Contract: POINT& PAY, LLC E-PAYMENT <br /> SERVICES 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 number This contract has been reviewed and approved by the Department Director as to <br /> technical content: <br /> Department Director's SignaLu e - Date: ? (3 <br /> IT Director <br /> (Applicable only to hardware/sof rep c es or related services)This contract has been reviewed and approved by the Information <br /> Technology Director as to technica and 'nformation technology specifications: <br /> IT Director's Signature: ��l`� l' �• /� v Date: J <br /> Risk Management (' {' ee c CC) <br /> Include the following coverages: dCGL; Auto; El WC; P4of�esssional; ❑ roperty; ❑ OR No Insurance Required ❑. Hold <br /> Contract:pending receipt of Certificate of In urance ❑. With incorporation of Insurance prQ visippns as shown, this contract is approved <br /> by the Risk Manager: j.L'M 71'2 31►3 V4 40-ILA— <br /> Risk Manager's Signature: Date: 2 13 <br /> 8lU L v3 <br /> Financial Services <br /> This Contract is conditioned pon appropriation by the Board of Commissioners Yes❑No A budget amendment is necessary <br /> before approval Yes❑No[V 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 Sery fes Director's Signature: V�G 96• A'.°^ Date: 2�t <br /> County Attorney <br /> Approval by Board ❑ (Contracts ver $90,000.00 for goods or services, $250,000.00 for construction, or any BOCC consultant <br /> contract). Approval by Manag r (A other contracts). This contract has been reviewed and approved by the Attorney as to legal <br /> form and sufficiency: <br /> Attorney's Signature Date: 0 GL <br /> County Manager <br /> This contract has been reviewed and is a rov by the County anager Yes No❑. <br /> This contract has been reviewed ►s t s mitt r B co s er ion 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 April 2010 <br />