Orange County NC Website
Browse       Search
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: YellowDoe: Creative Party/Vendor Contact Person: Julie Schmidt Contact Phone: 919-819-8081 Party/Vendor <br /> Address:4034 Millstone Rd City Hurdle Mills State:NC Zip:27541 Department: Public Health Amount: $1,500 Purpose:To provide <br /> branded and updated design for SHSC&WHSC Budget Code(s): 10410020-680030 Vendor#61929 (N/A if new vendor) Vendor is <br /> a BOCC consultant? Yes❑No® Contract Type: (Check one)New® Renewal ❑ Amendment ❑ Effective Date March 1,2014 <br /> Approved by Board Yes❑No❑ Agenda Date: Title of Contract: Innovation Design <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: l Date: — IV <br /> I irector <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 is <br /> by the Risk Manager: <br /> Risk Manager's Signature: : t - Date:J15IN MAY - 2 2014 <br /> .�1MIL4 <br /> Financial Services <br /> LU <br /> y <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: I <br /> Financial Services Director's Signature: "l� "�^� /� . Date: FY` I <br /> 5110 <br /> County Attorney <br /> Approval by Board ❑ (Contracts $90,00(. 0 or 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 e iewe a 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 a r d b e County Manager YesFerNoFj. <br /> This contract has been reviewed a ' or at e y t e 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 />