Orange County NC Website
oc�l-_:;� - -h-n <br /> 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: Emergency Management Performance Grant Party/Vendor Contact Person: James Groves Contact Phone: 919- <br /> 245-6100 Party/Vendor Address: 1636 Gold Star Drive City Raleigh State:NC Zip:27607 Department: Orange County Emergency <br /> Services Amount: 70,000.00 Purpose:Annual DPS Grant Budget Code(s): Vendor# (N/A if new vendor) Vendor is a <br /> BOCC consultant? Yes❑No® Contract Type: (Check one)New❑ Renewal® Amendment ❑ Effective Date Approved <br /> by Board Yes®Nor-1 Agenda Date: Title of Contract:Emergency Management Performance Grant <br /> If this is a Grant Agreement,pre-application has been appro ed by the Board of Commissioners Yes®No❑. If submitted for bid were <br /> bids/RFPs received Yes❑No® Bid/RFP n ber is contract has been reviewed and approved by the Department Director as to <br /> technical content: <br /> Department Director's Signature �` Date: (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 ❑. 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: Lwat.4 <br /> Risk Manager's Signature: Date: <br /> k31�1 <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 YesE]NoLV <br /> J. 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 ct: <br /> Financial Services Director's Signature: w i Date: 1 3 <br /> County Attorney <br /> Approval by Board ❑ (Contracts $90,00020 or more for goods or services, $250,000.00 or more for construction, or any BOCC <br /> consultant contract). Approval b Manager (Most other contracts$1,000 and above). Department Director approval only❑ (Under <br /> $1,000). This contract has been e ' wed p ved by the Attorney as to legal form and sufficiency: <br /> Attorney's Signature Date: I I /its]ts <br /> County Manager <br /> This contract has been reviewed and' appr a the County Manager Yes No❑. <br /> This contract has been reviewed is for 'gn to e air No[-]. <br /> v <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 120 <br /> Clerk's Signature: Date: A( <br /> Revised March 2012 <br />