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lam-ZzZ. <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: NC Dept of Public Safety Division of EM Party/Vendor Contact Person: Dianne Benton Contact Phone: 919-825- <br /> 2257 Party/Vendor Address: 1636 Gold Start Drive City Ralei h State:NC Zip:27607 Department: Oranjze County Emergency <br /> Services Amount: Purpose:MOA-Orange County CERT Budget Code(s): 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: <br /> If this is a Grant Agreement,pre-application has b approved the Board of Commissioners Yes❑No❑. If submitted for bid were <br /> bids/RFPs received Yes❑No❑ Bid/RFP be r Thi c tract has been reviewed and approved by the Department Director as to <br /> technical content: �7 <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: Date: <br /> Risk Management <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 sh <br /> by the Risk Manager: D lJ 0 <br /> Risk Manager's Signature: Yl Date: MAY " 7 2014 <br /> Financial Services <br /> This Contract is conditioned on appropriation by the Board of Commissioners Yes❑ .No 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 Budget and Fiscal Control Act: ej <br /> Financial Services Director's Signature: C �� ,� Date: 7 I <br /> 5l7 <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). Approva y Manager (Most other contracts$1,000 and above). Department Director approval only❑ (Under <br /> $1,000). This contract has b n eview approved by the Attorney as to legal form and sufficiency: <br /> Attorney's Signature Date: <br /> County Manager <br /> This contract has been reviewed and is appro ed b the County Manager Yes No[:]. <br /> This contract has been reviewed an r s' nat by t air s❑ <br /> v �Manager's Signature: Date: A <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 />