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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: Time Warner Cable Business Class Party/Vendor Contact Person: Ken Bearden Contact Phone: 919 654 7647 <br /> Party/Vendor Address: 101 Innovation Ave City Morrisville State:NC Zip:27560 Department: Amount: $7,710 Purpose:DIA <br /> Ulr"e Agreement Budget Code(s): 10315020-540000 Vendor#30615 (NIA if new vendor) Vendor is a BOCC consultant? Yes <br /> ❑No❑ Contract Type:(Check one)New❑ Renewal❑ Amendment ® Effective Date Approved by Board Yes❑No❑ <br /> Agenda Date: 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: 'n l <br /> o(` ► �� Date: d � I <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 techn' content and information technology specifications: (� <br /> IT Director's Signature: r v� 2 V Date: `I <br /> Risk Manaaement <br /> Include the following coverages: ❑ GL; ❑ Auto; ❑ WC; ❑ Professional; ❑ Property; OR No I <br /> Contract pending receipt of Certificate of Insurance ❑. With incorporation of Insurance provisions as sh 7!1 by the Risk Manager:Risk Manager's Signature: Date:Financial Services / <br /> This Contract is conditionepon appropriation by the Board of Commissioners Yes❑No A budget amendment is necessary <br /> before approval Yes❑NoN. 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 Bud�et and Fiscal Control Act: <br /> Financial Services Director's Signature: Date: b �� <br /> 6t to <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 anA ved by the Attorney as to legal form and sufficiency: <br /> Attorney's Signature <br /> Date: C/,-- <br /> County.Manager ' <br /> This contract has been reviewed and is a ov by the County M a Yes No❑. <br /> This contract has been reviewed is si e y e Fes5 No❑. <br /> ri <br /> Manager's Signature: Date: 4W <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 />