Orange County NC Website
ORANGE COUNTY—CONTRACT CONTROL SHEET <br /> Routing rder: (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: True North Emergency Management LLC Party/Vendor Contact Person: K.Nelson Lucius Contact Phone: 817- <br /> 201-1912 Party/Vendor Address:275 Corporate Center Dr. Suit C City Stockbridge State: Ga Zip: 27278 Department: Solid Waste <br /> Amount:N/A Purpose:Assignment of Agreement with Orange County from Neel-Schaffer to True North Emergency Management,LLC <br /> Budget Code(s): 50351020-630000 Vendor#61190 (N/A if new vendor) Vendor is a BOCC consultant? Yes❑No® Contract <br /> Type: (Check one)New❑ Renewal❑ Amendment ® Effective Date 11/26/2013 Approved by Board Yes®No[] Agenda <br /> Date:N/A Title of Contract:Disaster Management,Monitoring and Recovery Services <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 5167This contract has been reviewed and approved by the Department Director as to <br /> technical content: <br /> Department Director's Signature: Date: f �-/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: �j� Date: /- <br /> 1z��lt3 <br /> Financial Services <br /> This Contract is conditioned on appropriation by the Board of Commissioners Yes❑No 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 Budget and Fiscal Control Act- <br /> Financial Services Director's Signature: �, �� Date: 1 74 Le <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 bee rev' ed and,approved the Attorney as to legal form and sufficiency: <br /> Attorney's Signature - Date: <br /> County Manager <br /> This contract has been reviewed and is ap ov y the County Manager Yes o❑. <br /> This contract has been reviewed a si na a by t Ch ' Ye 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 />