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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: Michael A. Sprayberry Contact <br /> Phone: 919-825-2500 Party/Vendor Address:4236 Mail Service Center City Raleigh State:North Carolina Zip:27699-4236 <br /> Department: Emergency Services Amount:$48,926.12 Purpose: Grant Award Budget Code(s): Vendor# (N/A if new <br /> vendor) Vendor is a BOCC consultant? Yes❑No® Contract Type: (Check one)New❑ Renewal❑ Amendment ❑ Effective <br /> Date Approved by Board Yes❑No® Agenda Date: Title of Contract:EMPG Grant <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 num r T 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: /�/'x} Date: <br /> Risk Manazement <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: A ! <br /> Risk Manager's Signature: !V `sq Date: <br /> Financial Services <br /> This Contract is conditioned ppon appropriation by the Board of Commissioners Yes❑No[3/ A budget amendment is necessary <br /> before approval Yes[:]NoM. 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: w /✓' Date: 3 Sl y <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 P Manager[ (Most other contracts$1,000 and above). Department Director approval only❑ (Under <br /> $1,000). This contract has bee r vi wed n pproved by the Attorney as to legal form and sufficienc <br /> Attorney's Signature Date. <br /> County Manager <br /> This contract has been reviewed and is ap v y the Cou ty pager Yes o❑. <br /> This contract has been reviewed a s f i ur t ha' es❑No❑. r� <br /> Manager's Signature: DatS <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 />