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Q 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 /> `Q <br /> Department <br /> Party/Vendor Name: State of North Carolina-DPS/Emergency Management Party/Vendor Contact Person: Steve Powers Contact <br /> Phone: 919-724-7321 Party/Vendor Address:401 Central Avenue City Butner State:NC Zip:27509 Department:Emergency Services <br /> Amount:N/A Purpose:North Carolina Statewide Mutual Emergency Management Mutual Aid and Assistance Aereeement Budget <br /> Code(s):N/A Vendor#N/A (N/A if new vendor) Vendor is a BOCC consultant? Yes❑No❑ Contract Type:(Check one)New❑ <br /> Renewal® Amendment ❑ Effective Date Approved by Board Yes❑No[] Agenda Date: Title of Contract: <br /> NCEM Statewide Mutual Aid and Assistance 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❑Nor-1 Bid/RFP number This contract has been reviewed and approved by the Department Director as to <br /> technical content: <br /> Department Director's Signature: Date: (? /S <br /> IT Director <br /> (Applicable only to hardware/software purchases or related services)This contract has been reviewed ar d approved hX the Informyt4 n <br /> Technology Director as to technical content and information technology specifications: lJ � 0 T <br /> IT Director's Signature: Date: DEC U 3 2015 <br /> Risk Management <br /> Include the following coverages: ❑ CGL; ❑ Auto; ❑ WC; ❑ Professional; ❑ Property; OR N old <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:- p� Date: <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 amend t is necpss ,p ease attach to this form. This instrument has been pre-audited in the <br /> manner required by the Local Government Budg nd s C 1 Act: <br /> Financial Services Director's Signature: Date: Z <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 a r ed by the Attorney as to legal form and sufficiency: <br /> Attorney's Signature Date: <br /> County Manager <br /> This contract has been reviewed and is approved by the County Manager YesL No❑. <br /> This contract has been reviewed and is f signature by the Chair Yes❑No❑. <br /> Manager's Signature: Date: <br /> Clerk to the Board <br /> Approved by BOCC on the_day of 120 Submitted for Chair signature on the_day of ,20 <br /> Clerk's Signature: Date: <br /> Revised March 2012 <br />