Orange County NC Website
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: TischlerBise Party/Vendor Contact Person: Julie Herlands Contact Phone:301.320.6900 x15 Party/Vendor <br /> Address:4701 Sangamore Rd, Suite S240 City Bethesda State:MD Zip:20816 Department:Planning&Inspectins Amount: $14,060 <br /> Purpose: student generation rate study for both school systems Budget Code(s): 10620020-630000 Vendor#56683 (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❑Nor-1 Agenda Date: Title of 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❑Nor-1 Bid/RFP number This contract has been reviewed and approved by the Department Director as to <br /> technical content: <br /> Department Director's Signature ate: <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: �j 4 Date: <br /> Risk Management <br /> Include the following coverages: ❑ CGL; ❑ Auto; ❑ WC; ❑ Professional; ❑ Property; OR No Insurance Required 12f 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: till Risk Manager's Signature: l/l + Date: L �� l <br /> Financial Services <br /> This Contract is conditioned on appropriation by the Board of Commissioners Yes❑No[� A budget amendment is necessary <br /> ❑ <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 Budget and Fiscal Contro Act: <br /> Financial Services Director's Signature: Yy --t Date: �� <br /> County Attorney <br /> Approval by Board ❑ (Contracts $90,000.00 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 wed and a ed by the Attorney as to legal form and sufficiency: <br /> s <br /> Attorney's Signature Date: <br /> County Manager <br /> This contract has been reviewed and is a r a the County anager Yes ❑. <br /> This contract has been reviewed an ' for gn e by C No❑. <br /> Manager's Signature: Date: f <br /> Clerk to the Board <br /> Approved by BOCC on the_day of Q� ,20 Submitted for Chair signature on the day of 120 <br /> Clerk's Signature: / / Date: <br /> Revised March 2012 <br />