Orange County NC Website
o14-1Z7 <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: David Parker Party/Vendor Contact Person: David Parker Contact Phone: (919)304-4457 Party/Vendor Address: <br /> 3002 Quantum Lane City Cedar Grove State:NC Zip:27231 Department:DEAPR-Recreation Amount: $700.00 Purpose: Event <br /> Photoeranhy Budget Code(s): Vendor i--61193 (N/A if new vendor) Vendor is a BOCC consultant? Yes❑No❑ Contract <br /> Type: (Check one)New ® Renewal❑ Amendment ❑ Effective Date February 7,2014 Approved by Board Yes❑No® <br /> Agenda Date: Title of Contract: Valentine's Dance Photos <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: <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; E] Auto; ❑ WC; E] Professional; ❑ Property; OR No Insurance Required E]. 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: se <br /> Risk Manager's Signature: a- -. - a <br /> Date: <br /> 11<M Financial Services <br /> This Contract is conditioned on appropriation by the Board of Commissioners Yes❑No[I� r budget amendment is necessary <br /> before approval Yes[:]No[YIf 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 /> Date: <br /> Financial Services Director's Signature: Naq,," /� /J+� <br /> 1'ze, 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,)RVnder <br /> $1,000). This contract has been rev' and approved by the o legal form and sufficiency: <br /> Date: <br /> Attorney's Signature - — <br /> County Manaeer <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: <br /> U Date: <br /> Clerk to the Board 20 <br /> Approved by BOCC on the_day of 20 . Submitted for Chair signature on the_day of <br /> Date: <br /> Clerk's Signature: <br /> Revised March 2012 <br />