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c:Q0 P4 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: North Carolina Department of Public Safety Party/Vendor Contact Person: Ricky Tuddle Contact Phone: 919 <br /> 825-2500 Party/Vendor Address:4236 Mail Service Center City Raleigh State:NC Zip:27699 Department:Emergency Management <br /> Amount: $35,000.00 Purpose:Eryiergency Management Performance Grant Budget Code(s): 30750020 629000 71049 Vendor# <br /> (N/A if new vendor) Vendor is a BOCC consultant? Yes❑No❑ Contract Type:(Check one)New® Renewal❑ Amendment <br /> ❑ Effective Date Approved by Board Yes®No❑ 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 T contract has been reviewed and approved by the Department Director as to <br /> technical content: n <br /> Department Director's Signature: Date: C% A;1I <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 Ins <br /> Contract pending receipt of Certificate of Insurance ❑. With incorporation of Insurance provisions as shoMy <br /> by the Risk Manager: <br /> /'� <br /> Risk Manager's Signature: a1J �.��". Date: <br /> 10Rz4 <br /> Financial Services <br /> This Contract is conditioned j�pon appropriation by the Board of Commissioners YesE]No 1[�. 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: W ,�> A4,_ Date: / <br /> tolz.- <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 b anager%(Most other contracts$1,000 and above). Department Director approval only❑ (Under <br /> $1,000). This contract has been i'wed and approved by the Attorney as to legal form and sufficien y: <br /> Attorney's Signature Date: C9 <br /> County Manager <br /> This contract has been reviewed and is approved by the County Manager Yes ❑. <br /> This contract has been reviewed and is for signature by the Chair Yes❑No❑. <br /> Manager's Signature: Date: <br /> Clerk 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 />