Orange County NC Website
20)­4- VS-1 <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: Intellicom, Inc. Party/Vendor Contact Person: Mark Vaughan Contact Phone: 919-957-1949 Party/Vendor <br /> Address: 2902 S. Miami Blvd Suite C; mark@intellicomusa.com City Durham State:NC Zip:27703 Department: AMS Amount: <br /> $15,930 Purpose: Low voltage wiring of Whitted 2"a floor meeting room Budget Code(s): 61370035-880000-10028 Vendor 4 44533 <br /> (N/A if new vendor) Vendor is a BOCC consultant? Yes ❑No® Contract Type: (Check one)New® Renewal ❑ Amendment <br /> ❑ Effective Date 3/17/14 Approved by Board Yes❑No® Agenda Date:N/A Title of Contract: Whitted Mt-, Room Low <br /> Voltage <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 'rector <br /> (Applicable only to hardware/software purchases or relate se ces)This contract has been reviewed and approved by the Information <br /> Technology Director as to technical content and information chnology specifications: <br /> IT Director's Signature: Date: <br /> Risk Management <br /> Include the following coverages: ❑ CGL; ❑ Auto; ❑ WC; ❑ Professional; ❑ Property; OR No Insurance Required El. Hold <br /> Contract pending receipt of Certificate of Insurance ❑. With incorporation of Insurance provisions as sh <br /> by the Risk Manager: D <br /> Risk Manager's Skmature: �0 ai� Date: 3 MAR 13 2014 <br /> al/3 <br /> Financial Services <br /> This Contract is conditioned on appropriation by the Board of Commissioners Yes❑Noy A b <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 Bud/get and Fiscal Control Act: l <br /> Financial Services Director's Signature: P� #-' A. X Date: 31 17 q/1y <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 Manager2fMost other contracts$1,000 and above). Department Director approval only ❑ (Under <br /> $1,000). This contract has be n re 'e wed and a the Attorney as to legal form and sufficiency: <br /> Attorney's Signature � Date: <br /> County Manager <br /> This contract has been reviewed and is a rove the County Manager Yes© ❑. <br /> This contract has been reviewed is si at re by e Ch 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 />