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: Samantha Cabe,Atty Party/Vendor Contact Person: S Cabe Contact Phone: 919 928 5708 Party/Vendor <br /> Address: 127 Timberhill PI City Chapel Hill State:NC Zip: 27514 Department: CSE Amount: $10,000 Purpose: CSE legal services <br /> Budget Code(s): 1044002063400 Vendor# (N/A if new vendor) Vendor is a BOCC consultant? Yes ❑No❑ Contract Type: <br /> (Check one)New ❑ Renewal ❑ Amendment ❑ Effective Date 07/01/2014 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 number This contract has been reviewed and approved by the Department Director as to <br /> technical content: <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 El. 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: <br /> Risk Manager's Signature: ` �t l� `—�-- Date.-( <br /> Financial Services <br /> This Contract is conditioned wpon appropriation by the Board of Commissioners Yes❑No A budget amendment is necessary <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: A Date: 5 vi I I <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 0(Most other contracts$1,000 and above). Department Director approval only ❑ (Under <br /> $1,000). This contract has bee reviewed an proved 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 ap ov y the County Manager Yes Io❑. <br /> This contract has been reviewed f si a re byte a' ❑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 />