Orange County NC Website
Browse       Search
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: Carton Council Party/Vendor Contact Person: Ed Klein Contact Phone: Party/Vendor Address: <br /> City State: Zip: Department: Solid Waste Amount: 3,000 Purpose:Recycling Grant Budget Code(s): <br /> Vendor# (N/A if new vendor) Vendor is a BOCC consultant? Yes❑No® Contract Type: (Check one)New® Renewal <br /> ❑ Amendment ❑ Effective Date ASAP Approved by 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: /Q aS <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 ❑. 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: /1 - <br /> Risk Manager's Signature: �,� ( Date: d Xzs/& <br /> Financial Services <br /> This Contract is conditioned ypon appropriation by the Board of Commissioners Yes❑No[2/ 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 Bu/dg/et and Fiscal Control Act:f <br /> Financial Services Director's Signature: Lt��►. �d ;li/ `"� Date: <br /> 1O12"1 <br /> County Attorney <br /> Approval by Board ❑ (Contracts $90,000.00 r 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 ev. ed and a by the Attorney as to legal form and sufficiency: <br /> Attorney's Signature ll� Date: <br /> County Manaser <br /> This contract has been reviewed and is a ro by the County Manager Yes 00. <br /> This contract has been reviewed is s' ture e r 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 />