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: C.A. Short Company Party/Vendor Contact Person: Jeff Ross Contact Phone: 704-482-9591 Party/Vendor <br /> Address:Post Office Drawer 310 City Shelby State:NC Zip: 28151-0310 Department: Amount: $2,640.50 Purpose: Service <br /> Awards Certificates and Service Letters Budget Code(s): 10250020/684000 Vendor#57758 (N/A if new vendor) Vendor is a BOCC <br /> consultant? Yes❑No® Contract Type: (Check one)New® Renewal❑ Amendment ❑ Effective Date 3/7/2014 Approved by <br /> Board Yes❑No® Agenda Date: Title of Contract: Service Awards Certificates and Service Letters <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: t/ <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; ❑ Auto; ❑ WC; ❑ Professional; ❑ Property; OR No Insurance Required ❑. Hold <br /> Contract pending receipt of Certificate of Insurance ❑. With incorporation of Insurance provisions as sh conl tract is approve <br /> by the Risk Manager: <br /> Risk Manager's Signature: ,_ Date: n FEB - 4 2013 <br /> L5 <br /> Financial Services <br /> This Contract is conditioned on appropriation by the Board of Commissioners Yes❑No� A b amendment is necess <br /> before approval Yes❑No[y.If budget amendment is necessary,please attach to this form. This instrument has 'e'en'pre-audited <br /> manner required by the Local Government Budget and Fiscal Control Act: <br /> Financial Services Director's Signature: ua-' A Date: Z (,g/l <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 rev' d and approved by 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 by the County Manager Yes No❑. <br /> This contract has been reviewed i si e by Ch ' Yes No❑. <br /> Manager's Signature: d 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 />