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:$0.0 Purpose: WiFi <br /> Services Budget Code(s):n/a Vendor#30615 (N/A if new vendor) Vendor is a BOCC consultant? Yes❑No® Contract Type: <br /> (Check one)New® Renewal❑ Amendment ® Effective Date Approved by Board Yes❑No❑ Agenda Date: <br /> 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/RF This contract has been reviewed and approved by the Department Director as to <br /> technical content: <br /> Department Director's Signature: �6 rz 1 Date: <br /> /A�j <br /> IT Director <br /> (Applicable only to hardware/software urch es or related services)This contract has been reviewed and approved by the Information <br /> Technology Director as to tec c I me t and information technology specifications: / l <br /> IT Director's Signature: / G � <br /> Date: <br /> Risk Management <br /> Include the following coverages: ❑ GL; ❑ 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: L%C Date: 0? <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 Bu _e dd Fis 1 Control Act: J <br /> Financial Services Director's Signature: Xv—( 7 Date: l S <br /> —►�.aG. l.o�l la�15 <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 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 — — Date: z fT <br /> County Manaeer <br /> This contract has been reviewed and is approved by the County Manager Yes No❑. <br /> This contract has been reviewed an for ' ature by the Chair Yes❑No❑. <br /> Manager's Signature: 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 />