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)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: EMPG Party/Vendor Contact Person: Michael Spra}_be_rry Contact Phone: 919-825-2500 Party/Vendor Address: <br /> 1636 Gold Star Drive City Ralei h State:NC Zip:27607-3371 Department: OCES Amount: $16.707.20 Purpose:EM Programs <br /> Budget Code(s): Vendor# (N/A if new vendor) Vendor is a BOCC consultant? Yes❑No❑ Contract Type: (Check <br /> one)New❑ Renewal❑ Amendment ® Effective Date Approved by Board Yes❑No❑ Agenda Date: Title of <br /> Contract: Emergency Management Performance Grant <br /> If this is a Grant Agreement,pre-application has been approved e Board of Commissioners Yes❑No❑. If submitted for bid were <br /> bids/RFPs received Yes❑No® Bid/RFP nu tract has been reviewed and approved by the Department Director as to <br /> technical content: <br /> Department Director's Signature: Date: l <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 Insurance Require ❑. 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: .. ,� -' �t ., � Date: Z 51-'_) <br /> Financial Services <br /> This Contract is conditioned upon 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 Budget and Fiscal Control Act: <br /> i <br /> Financial Services Director's Signature: <br /> County Attorney <br /> Approval by Board ❑ (Contracts $90,00 00 or more for goods or services, $250,000.00 or more for construction, or any BOCC <br /> consultant contract). Approval Manager] (Most other contracts$1,000 and above). Department Director approval only❑ (Under <br /> $1,000). This contract has bee viewed and approved by the Attorney as to legal form and sufficiency: <br /> Attorney's Signature Date: a I <br /> County Manager <br /> This contract has been reviewed and is approved by the County Manager Yes❑No❑. <br /> This contract has been reviewed and * for signature by the Ch . Yes❑No❑. <br /> Manager's Signature: Date: <br /> lerk 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 />