Orange County NC Website
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: Gail Perry Associates Party/Vendor Contact Person: Lisa Jensen Contact Phone: (919) 821-3050 Party/Vendor <br /> Address: 124 Hillcrest Road City Raleigh State:NC Zip: 27605 Department:Finance and Administrative Services Amount: $1,500 <br /> Purpose: Payment for speaker fees Budget Code(s): 10495020-720066 Vendor# (N/A if new vendor) Vendor is a BOCC <br /> consultant? Yes❑No® Contract Type: (Check one)New ❑ Renewal❑ Amendment ® Effective Date May 5/15/2014 <br /> Approved by Board Yes❑No® Agenda Date: Title of Contract:Nonprofit Fundraising <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: 04,t,�, Z ' Date: 15 Z Z/1 Y <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 shown, this contract is approved <br /> by the Risk Manager: D <br /> Risk Manager's Signature: _ Date: 7 <br /> MAY 2.7 2014 <br /> Financial Services <br /> This Contract is conditioned on appropriation by the Board of Commissioners Yes❑No 9 A bu amendment is necess <br /> before approval Yes❑ Noy.If budget amendment is necessary, please attach to this form. This instrume <br /> manner required by the Local Government Budget and Fiscal Control Acct: <br /> Financial Services Director's Signature: d 914..,LV .N' jwy Date: S 7-111 <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 by Manager®(Most other contracts$1,000 and above). Department Director approval only ❑ (Under <br /> $1,000). This contract has been reviewed and approved by the Attorney as to legal form and sufficiency: <br /> Attorney's Signature - Date: ��' �7 <br /> ,,41 County Manager <br /> This contract has been reviewed and is appr ed e Cou ty Manager Yes No❑. <br /> This contract has been reviewed a ' for ' nat re y a es o❑. <br /> d <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 />