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: State of North Carolina Party/Vendor Contact Person: Martha Are Contact Phone: 919-855-4994 Party/Vendor <br /> Address: 2001 Mail Service Center City Raleigh State:NC Zip: 27699-2001 Department: Housing/Human Rights and Community <br /> Development Amount: $2,300 Purpose: 10 Year Plan-Benchmarks Budget Code(s): 32470605 Vendor# (N/A if new vendor) <br /> Vendor is a BOCC consultant? Yes ❑No® Contract Type: (Check one)New® Renewal❑ Amendment ❑ Effective Date <br /> 02/15/2011 Approved by Board Yes❑No® Agenda Date: 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/RFP number This contract has been reviewed and approved by the Department Director as to <br /> technical content: <br /> Department Director's Signatur Date: <br /> IT Director <br /> (Applicable only to hardware/software purchases o7-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 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: <br /> Financial Services <br /> This Contract is condition d upon appropriation by the Board of Commissioners Yes❑NoX A budget amendment is necessary <br /> before approval Yes[:] NoX. 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 /> ^,r��� 2 <br /> Financial Services Director's Signature: q44-W 1"`�-� Date: <br /> County Attorney <br /> Approval by Board ❑ (Conti is over $90,000.00 for goods or services, $250,000.00 for construction, or any BOCC consultant <br /> contract). Approval by Manag (All then contracts). This contract has been reviewed and approved by the Attorney as to legal <br /> form and sufficiency: <br /> Attorney's Signature Date: o+i <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 BOCC co sideration Yes❑No❑. <br /> Manager's Signature: Date:2 — .. <br /> 1 � <br /> Clerk a the Board <br /> f <br /> Approved by BOCC on the day of b °. Submitted for Chair signature on,the day of , 20 <br /> J <br /> Clerk's Signature: Date:'- <br /> Revised April 2010 <br />