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: Time Warner Cable Business Class Party/Vendor Contact Person: Ken Bearden Contact Phone:919 654 7647 <br /> Party/Vendor Address: 101 Innovation Ave City Morrisville State:NC Zip:27560 Department:� Amount: Purpose:TWC <br /> Optical Access Service Renewal Budget Code(s): 10315020-540010 Vendor#30615 (N/A if new vendor) Vendor is a BOCC <br /> consultant? Yes❑No❑ Contract Type:(Check one)New❑ Renewal® Amendment ❑ Effective Date Approved by <br /> Board Yes❑No❑ Agenda Date: Title of Contract: Time Warner Business class Optical Access Service Agreement <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 numbe This contract has 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 purchases o related services)This contract has been reviewed and approved by the Information <br /> Technology Director as to techni co en d information technology specifications: <br /> IT Director's Signature: (3 U Date: a <br /> Risk Management <br /> Include the following coverages: ❑ C L; ❑ Auto; ❑ WC; ❑ Professional; ❑ Property; OR No Insurance Required ❑. 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: l s <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 /> Financial Services Director's Signature. Date: 1 �" <br /> County Attornev <br /> Approval by Board R (Contracts $90,000.00 or more for goods or services, $250,000.00 or more for construction, or any BOCC <br /> consultant contract). Approval by Manager❑ (Most other contracts$1,000 and above). Department Director approval only❑ (Under <br /> $1,000). This contract has been reviewed and approved by the Attorney as to legal form and sufficiency: <br /> Attorney's Signature C Date: 3 l3 cs" <br /> County Manazer ~` <br /> This contract has been reviewed and is approved by the County Manager Yes( No❑. <br /> This contract has been reviewed and is for signature by the Chair Yes❑No❑. <br /> Manager's Signature: t � Date: <br /> Clerk 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 />