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,('71 k Irrk <br /> This Document shall accompany all contracts and shall be submitted for signature in the Routing Order specified above. I I't he Manager <br /> determines the contract is not appropriate for Manager approval the Manager shall submit the contract for BOCC approval. ( olltracts for <br /> BOCC approval must be submitted through,and complete,the routing process prior to agenda review. Contracts for legal ic%\,should <br /> be completed through the legal review process prior to being routed for signature. <br /> Department <br /> Party/Vendor Name: Target Solutions Party/Vendor Contact Person: Thom Woodward Contact Phone: Party/Vendoi address: <br /> 10805 Rancho Bernardo Road suite 200 City San Diego State: CA Zip: 92127 Department:Emergency Services Amount ",0.1)45.00 <br /> Purpose: On Line Training Budget Code(s): 10757520530200 Vendor#61603 (N/A if new vendor) Vendor is a BOC( ,ouisultant? <br /> Yes❑No® Contract Type: (Check one)New❑ Renewal® Amendment ❑ Effective Date Approved by Bnar,l Yes® <br /> No❑ Agenda Date: Title of Contract: <br /> If this is a Grant Agreement,pre-application has been approve the Board of Commissioners Yes❑No❑. If submitt,..d I��r bid were <br /> bids/RFPs received Yes❑No❑ Bid/RFP r is ontract has been reviewed and approved by the Department I>irrctor as to <br /> technical content: <br /> Department Director's Signatur Date: 7 "` <br /> IT Director <br /> (Applicable only to hardware/software purchases or related services)This contract has been reviewed and approved by the 111 tin-mation <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 Requited ❑. Hold <br /> Contract pending receipt of Certificate of Insurance ❑. With incorporation of Insurance provisions as 51111 tit contract is ed <br /> by the Risk Manager: U LS <br /> Risk Manager's Signature: Date: JUL 0 <br /> 19 Financial Services B y_ <br /> This Contract is conditioned on appropriation by the Board of Commissioners Yes❑No[9./ A u ge amen–cTm--(,iii"i `ne <br /> before approval Yes❑NoM. If budget amendment is necessary,please attach to this form._This instrument his been pr.-audited in the <br /> manner required by the Local Government Budget and Fiscal Co of Ac <br /> Financial Services Director's Signature: l� Ulu Date: l b �. <br /> 71 to <br /> County Attorney <br /> Approval by Board ❑ (Contracts $90,000. 0 or more for goods or services, $250,000.00 or more for construction. rn any BOCC <br /> consultant contract). Approval by Manager PqMost other contracts$1,000 and above). Department Director approval <ml.\ ❑ (Under <br /> $1,000). This contract has b eview d approved by the Attorney as to legal form and sufficiency: <br /> Attorney's Signature Date: i l �T- <br /> County Manager <br /> This contract has been reviewed and is approved by the County Manager YesQ'No❑. <br /> This contract has been reviewed and is fQr signature b the Chair Yes❑No❑. <br /> l X2 r / S <br /> Manager's Signature: c`� - ' l ' , Date: . <br /> Clerk to the Board <br /> Approved by BOCC on the_day of ,20 . Submitted for Chair signature on the day c f 120 <br /> Clerk's Signature: Date: <br /> Revised March 2012 <br />