Orange County NC Website
I'l <br /> 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 /> i <br /> j Department <br /> Party/Vendor Name: 6 Separate Contracts @<$5K Party/Vendor Contact Person: Nitya Fiorentino Contact Phone: 2452538 <br /> Party/Vendor Address: City State: Zip: Department: Amount: Purpose: Budget <br /> Code(s): 105000020-63000 Vendor# (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: Library Programs-Chaka 1/25,NC Shakespeare 4/15,Rags to Riches 6/15,Fish the Magish 6/18,Charles Pettee 7/6, <br /> Fred Motley 7/23. <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[:]XBid/R-FP ber T ntract has been reviewed and approved by the Department Director as to <br /> technical content: <br /> Department Director's Signat Dater/ 'O201,e <br /> Director <br /> (Applicable only to hardtivarelsofhvare 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 ManalZement <br /> Include the following coverages: ❑ CGL; ❑ Auto; ❑ WC; ❑ Professional; ❑ Property; E FOR 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: <br /> Kew-- r� �/19� �n .�Seu0s o Na - Ce f as(1( nlc s��,/s�a?re P -�/rs��� 9rfv/li�-!c✓iS'�i,i <br /> ( / !v/l8���j CG(urr�s �c�/�cP; { nti FY[d MoHey <br /> Financial Services <br /> This Contract is conditioned pon appropriation by the Board of Commissioners Yes❑Noe A budget amendment is necessary <br /> before approval Yes[:]NoA. 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: I�iv�Cld s f Date: C l: <br /> County Attorney <br /> Approval by Board ❑ (Contracts over $90,000.00 for goods or services, $250,000.00 for construction, or any BOCC consultant <br /> contract). Approval by Manager ]1 (All other contracts). This contract has been reviewed and approved by the Attorney as to legal <br /> form and sufficiency: <br /> Attorney's Signature Date: 1 021 11 <br /> County Manager <br /> This contract has been reviewed and is approvVm Manager Yes No❑. <br /> This contract has been reviewed and is t be s CC consideration Yes❑No <br /> Manager's Signature: Date: <br /> rk to the Board <br /> Approved by BOCC on the day of Submitted for Chair signature on the d7i,_ <br /> of ,20 <br /> /� � <br /> Clerk's Signature: _Date: p� <br /> Revised April 2010 <br />