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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: Electronic Touch Party/Vendor Contact Person: Christopher David Bays Contact Phone: Party/Vendor <br /> Address: 117 Lionel Avenue City Jacksonville State:NC Zip: 28540 Department: Library Amount: 425 Purpose: Programming <br /> Budget Code(s): 10500020-630000 Vendor# (N/A if new vendor) Vendor is a BOCC consultant? Yes ❑No® Contract <br /> Type: (Check one)New ® Renewal ❑ Amendment ❑ Effective Date Approved by Board Yes[]No® Agenda Date: <br /> 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❑No® Bid/RFP mber his contract has been reviewed and approved by the Department Director as to <br /> technical content: <br /> Department Director's Signature: Date:�z <br /> irector <br /> (Applicable only to hardware/software purchases or related s ces)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 El. With incorporation of Insurance provisions as sho <br /> by the Risk Manager: D <br /> Risk Manager's Signature: ���.,_- Date: %�' j r MAY 14 <br /> Financial Services B _p"_ <br /> This Contract is conditioned upon appropriation by the Board of Commissioners Yes❑No®. A bud AIR 130 <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: <br /> Financial Services Director's Signature: 014u, A Au.— Date: s'l g`�y <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). Approval Mana er❑ (Most other contracts$1,000 and above). Department Director approval only® (Under <br /> $1,000). This contract has bee re iewe Mpproved by the Attorney as to legal form and sufficiency: <br /> Attorney's Signature Date: 5 2.1 <br /> County Manager <br /> This contract has been reviewed and is approved by the County Manager Yes❑No®. <br /> This contract has been reviewed and is for signature by the Chair Yes❑No®. <br /> Manager's Signature: �� Date: N AN— <br /> Clerk to the Board <br /> Approved by BOCC on the_day of ,20 . Submitted for Chair signature on the_day of 120 <br /> Clerk's Signature: Date: <br /> Revised March 2012 <br />