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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: Time Warner Cable Party/Vendor Contact Person: Greg,Florian Contact Phone: Party/Vendor Address: <br /> 101 Innovation Ave, Suite 200 City Morrisville State:NC Zip:27560 Department: Health Amount: $8,08 1.00 Purpose:The provider <br /> agrees to air the OCHD Smoke Free Public Places Commercial Budget Code(s): 10412020-680076 Vendor#30615 (N/A if new <br /> vendor) Vendor is a BOCC consultant? Yes❑No® Contract Type: (Check one)New® Renewal ❑ Amendment ❑ Effective <br /> Date April 28,2014 Approved by Board Yes❑No[] Agenda Date: April 7,2014-June 15,2014 Title of Contract: TWC SFPP <br /> Commercial <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 /> c <br /> Department Director's Signature: Date: P-��- <br /> IT Dire <br /> (Applicable only to hardware/software purc ases ed ces)This contract has been reviewed and approved by the Information <br /> Technology Director as to technical content and i ation tec ecifications: <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 shown <br /> by the Risk Manager: D [ <br /> Risk Manager's Signature: r__0 r APR 2 1 2014 <br /> Financial Services �►�. <br /> This Contract is conditioned on appropriation by the Board of Commissioners Yes❑No[ / A budg <br /> before approval Yes❑No[q.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: I <br /> Financial Services Director's Signature: � w A A, Date: �2 <br /> County Attorney <br /> Approval by Board [I (Contracts $90,00 0 or more for goods or services, $250,000.00 or more for construction, or any BOCC <br /> consultant contract). Appro by Man ger� (Most other contracts$1,000 and above). Department Director approval only❑ (Under <br /> $1,000). This contract has e r view approved by the Attorney as to legal form and sufficiency <br /> Attorney's Signature I Date: <br /> County Manager <br /> This contract has been reviewed and is a pr v by the County Manager Yes No❑. <br /> This contract has been reviewed a or i n e by t 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 />