Orange County NC Website
Sl- 00. 30 <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 /> Department <br /> Party/Vendor Name: Tom Settle Party/Vendor Contact Person: Contact Phone: 919 889-1927 Party/Vendor Address: 302 Estate <br /> Drive City Apex State:NC Zip: 27502 Department: DEAPR Amount: $4800 Purpose: Lego instruction Budget Code(s):i©Sivoau s <br /> Co 317f1`��U <br /> Vendor# (N/A if new vendor) Vendor is a BOCC consultant? Yes ❑No® Contract Type: (Check one)New ® Renewal <br /> ❑ Amendment ❑ Effective Date Approved by Board Yes❑No[] Agenda Date: Title of Contract: Lego <br /> Instruction <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 number This contract has been reviewed and approved by the Department Director as to <br /> technical content: <br /> Department Director's s Signatur . D ate. Z . <br /> T/ 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 /> IXDirector's Signature: Date: <br /> Risk Management <br /> Include the following coverages: ❑ CGL; ❑ Auto; ❑ WC; ❑ Professional; ❑ Property; ❑'OR No Insurance Required E]. 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 • 1 - !1 <br /> �'d /�3J1L0lf <br /> Financial Services <br /> This Contract is conditioned pon 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. i his instrument has been pre-audited in the <br /> manner required by the Loca Government Budget and Fiscal Control Act: <br /> Financial Services Director's Signature: ' Date: <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 4 (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: A17111 <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 is to be submitted for CC consideration Yes❑No❑ <br /> l <br /> Manager's Signature: Date: `- <br /> Clerk to the Board <br /> Approved by BOCC on the day ,20 . Submitted for Chair signature on the day of ,20 <br /> C rlc's Signature: Date:-,?— <br /> Revised April 2010 <br />