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A014 -q85 <br /> 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: Console Cleaning Specialists Party/Vendor Contact Person: Debbie Buss Contact Phone: 360-748-0051 <br /> Party/Vendor Address:P.O.Box 1226 City Chehalis State: WA Zip: 98532 Department: Orange County Emergency Services Amount: <br /> $3,150.00 Purpose: Console cleaning in emergency communications Budget Code(s): 35755120571000 Vendor#62529 (N/A if new <br /> vendor) Vendor is a BOCC consultant? Yes❑jDate: Check one)New® Renewal❑ Amendment ❑ Effective <br /> Date Approved by Board Yes®No❑ Title of Contract: Console Cleaning Specialist <br /> If this is a Grant Agreement,pre-application s b ard of Commissioners Yes❑No❑. If submitted for bid were <br /> bids/RFPs received Yes❑No❑ Bid/RF numb s 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 p chases or related services)This contract has been reviewed and approved by the Information <br /> Technology Director as to technical co nt 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 Ins <br /> Contract pending receipt of Certificate of Insurance ❑. With incorporation of Insurance provisions as sho t Q it s p <br /> by the Risk Manager: ry <br /> � S E P 9 2014 <br /> A Risk Manager's Signature: '^ ""�'l"� Date: q 10 <br /> Financial Services By <br /> This Contract is conditioned on 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 Bud et nd Fiscal Control Act: r <br /> Financial Services Director's Signature: r'1.t`�L✓ a Date: C� <br /> �l <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 anager (Most other contracts$1,000 and above). Department Director approval only❑ (Under <br /> $1,000). This contract has been ev' wed and approved by the Attorney as to legal form and sufficiency: <br /> Attorney's Signature Date: C1 J A-- <br /> County Manager <br /> This contract has been reviewed and is approved by the County Manager Yes �oa <br /> This contract has been reviewed and is for ' nature by the Chair Yes❑No❑. / <br /> Manager's Signature: Date: <br /> Clerk to the Board <br /> Approved by BOCC on the_day of 20 w—. Submitted for Chair signature on t y of 20 <br /> Clerk's Signature: Date: /y <br /> Revised March 2012 <br />