Orange County NC Website
Browse       Search
- <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: Department of Environment and Natural Resources Party/Vendor Contact Person: Joe Fitzpatrick Contact Phone: <br /> 919-707-8121 Party/Vendor Address: 1639 Mail Service Center City Raleigh State:NC Zip:27699 Department: Solid Waste <br /> Amount: 75.000 Purpose:Roll Cart Purchase Budget Code(s): 502535035203000800000 Vendor# (N/A if new vendor) <br /> Vendor is a BOCC consultant? Yes[]No® Contract Type: (Check one)New® Renewal❑ Amendment ❑ Effective Date <br /> Approved by Board Yes[]No® Agenda Date: Title of Contract: Grant Contract <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: k Date: —24 Y <br /> IT Director <br /> (Applicable only to hardware/software purchas s 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: k A Date: <br /> Risk Management <br /> Include the following coverages: ❑ CGL; ❑ Auto; ❑ WC; [I Professional; ❑ Property; OR No Insurance Required F]. Hold <br /> p <br /> Contract pending receipt of Certificate of Insurance ❑. With incorporation of Insurance provisions as sh D ,�' a roved <br /> by the Risk Manager: (v7 2 <br /> Risk Manager's Signature: Date: MAR 2 S 2014 <br /> 3�Z8 <br /> Financial Services <br /> This Contract is conditioned pop appropriation by the Board of Commissioners Yes❑Nog.' A b ess <br /> before approval Yes❑ No&. If budget amendment is necessary,please attach to this form. This instrument has been pre-au rte in e <br /> manner required by the Local Government Budget and Fiscal Control Act: <br /> Fin ancial Services Director's Signature: N't, Cv A A4"-- Date: 31-3 11Y <br /> i <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 0"(Most other contracts$1,000 and above). Department Director approval only❑ (Under <br /> $1,000). This contract has been reviewed p oved by the Attorney as to legal form and sufficiency: <br /> Attorney's Signature Date: 7 — T" <br /> County Manager <br /> This contract has been reviewed and is pr d he County Manager Yes Io❑. <br /> This contract has been reviewed a for at r by t e h ' es o❑. <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 />