Orange County NC Website
c2 oIL4 4 <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: Priority isptach Party/Vendor Contact Person: Amanda Elser Contact Phone: 800-363-9127 ext 198 <br /> Party/Vendor Address: I.10 South Regent Street Ste 500 City Salt Lake City State:Utah Zip: 84111 Department: Orange County <br /> Emergency Services Amount: $197,244.99 Purpose:EMD Programs Budget Code(s): Vendor#46365 (N/A if new vendor) <br /> Vendor is a BOCC consulta t? Yes❑No❑ Contract Type:(Check one)New❑ Renewal❑ Amendment ❑ Effective Date <br /> Approved by Board YesiR No❑ Agenda Date: Title of Contract: <br /> If this is a Grant Agreement,pre-application has been app ved b Board of Commissioners Yes❑Non. If submitted for bid were <br /> bids/RFPs received Yes❑No❑ B7urchases on act has been reviewed and approved by the Department Director as to <br /> technical content: <br /> Department Director's Signature: Date: <br /> ol <br /> IT Director <br /> (Applicable only to hardware/softwaelated servic es)This contract has been reviewed and approved by the Information <br /> Technology Director as to technical conten nd 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 iora�tpp�ovn <br /> by the Risk Manager: J ACC ((JJ TIT <br /> Risk Manager's Signature: ,4`�[_ a Date: ` I I MAY - 9 2014 <br /> Financial Services B <br /> This Contract is conditioned on appropriation by the Board of Commissioners Yes❑No[U/ A b y <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 d Fiscal Control A t: <br /> Financial Services Director's Signature: , Date: �y <br /> 5112 <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). Appr Wanager (Most other contr acts$1,000 and above). Department Director approval only❑ (Under <br /> $1,000). This contract ha pproved by the Attorney as to legal form and sufficiency: So cc, G��opiZU,I�E( <br /> Attorney's Sin snojWU_ 11713 <br /> y g atur� Date. � ��' <br /> County Manager <br /> This contract has been reviewed and is ap ov by the County anager Yes6To❑'. <br /> This contract has been reviewed s f si atuw t a' 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 />