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 i ( Jerk <br /> This Document shall accompany all contracts and shall be submitted for signature in the Routing Order specified above. I r'r he !Manager <br /> determines the contract is not appropriate for Manager approval the Manager shall submit the contract for BOCC approval. !: omtracts for <br /> BOCC approval must be submitted through,and complete,the routing process prior to agenda review. Contracts for legal irw should <br /> be completed through the legal review process prior to being routed for signature. <br /> Department <br /> Party/Vendor Name: Velaquez Digital Media Communications PariyNendor Contact Person: Monique Velasquez Contac:r Pi,one: 919 <br /> 682-9874 Party/Vendor Address:PO Box 62441 City Durham State:NC Zip:27715 Department:BOCC Amount: $28,000 Purpose: <br /> Videographing of BOCC Meetings Budget Code(s): Vendor# (N/A if new vendor) Vendor is a BOCC ccr;u Itant? Yes <br /> ❑No® Contract Type: (Check one)New❑ Renewal ® Amendment ❑ Effective Date July ],2014 Approved by H oc ird Yes❑ <br /> No❑ Agenda Date: Title of Contract: <br /> If this is a Grant Agreement,pre-application has been approved y the Board of Commissioners Yes❑No❑. If submivcc tier bid were <br /> bids/RFPs received Yes❑No❑ Bid/RFP number This ntract has been reviewed and approved by the Departmen, Uirec for as to <br /> technical content: <br /> Department Director's Signature: Date: //A/ <br /> IT Director <br /> (Applicable only to hardware/software purchases or related services)This contract has been reviewed and approved by the In formation <br /> Technology Director as to technical content and information technology specifications: <br /> IT Director's Signature: Date: <br /> 0 <br /> Risk Management <br /> Include the following coverages: ❑ CGL; ❑ Auto; ❑ WC; ❑ Professional; ❑ Property; OR No Insurance Reau i•.d _]. 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: Date: <br /> Financial Services <br /> This Contract is conditioned on appropriation by the Board of Commissioners Yes❑No2l, 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: l/l a z,, , .11ll,1`— Date: r7 1 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, rr, any BOCC <br /> consultant contract). Approval by Manager[(Most other contracts$1,000 and above). Department Director approval curl ] (Under <br /> $1,000). This contract has been re 1 iew roved 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 approved by the County Manager Yes 0 No❑. <br /> This contract has been reviewed and is fdr signature by the Chair Yes❑No❑. <br /> Manager's Signature: � = �` �'* Date. <br /> Clerk to"ard <br /> Approved by BOCC on the day of 120 Submitted for Chair signature on the day of . 20 <br /> Clerk's Signature: Date: <br /> Revised March 2012 <br />