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R 2013-517 EMS-Caldwell Fire Department for Fire Protection Agreement
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R 2013-517 EMS-Caldwell Fire Department for Fire Protection Agreement
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1/13/2014 12:02:01 PM
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1/13/2014 12:02:01 PM
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BOCC
Date
1/13/2014
Meeting Type
Work Session
Document Type
Agreement
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Chair Signed
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2013-517 EMS - Caldwell Fire Department for Fire
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\Board of County Commissioners\Contracts and Agreements\General Contracts and Agreements\2010's\2013
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�t3 - X17 <br /> c6J ORANGE COUNTY—CONTRACT CONTROL SHEET <br /> Routing Order: f1)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: Caldwell Fire Department Party/Vendor Contact Person: Brad Allison Contact Phone: 919-732-8445 <br /> Party/Vendor Address: 7020 Guess Road City Rou emont State:NC Zip:27572 Department:Emergency Services Amount: <br /> Purpose: Fire Protection Agreement Budget Code(s): Vendor# (N/A if new vendor) Vendor is a BOCC consultant? <br /> Yes❑No® Contract Type:(Check one)New❑ Renewal® Amendment ❑ Effective Date Approved by Board Yes® <br /> No❑ Agenda Date: 11/19/2013 Title of Contract:Fire Protection and Emergency 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 nu er is contract has been reviewed and approved by the Department Director as to <br /> technical content: <br /> Department Director's Signature: Date: „3 <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: <br /> Risk Manager's Signature: 1;� C� Date: / <br /> Financial Services <br /> This Contract is cond' ioned upon appropriation by the Board of Commissioners Yes[6No❑. A budget amendment is necessary <br /> before approval YesM 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 Budget ,,n!!d Fiscal Control t: <br /> Financial Services Director's Signature: (A%**Aet ✓ .N• hIL— Date: <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 approved by the Attorney as to legal form and sufficiency: <br /> Attorney's Signature Date: Q`I <br /> County Manager <br /> This contract has been reviewed and is approved by the County Manager Yes❑No❑. <br /> This contract has been reviewed and is for signature by the Chair 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 March 2012 <br />
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