Orange County NC Website
Browse       Search
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: City of Durham Party/Vendor Contact Person: Gary Richards Contact Phone: 919-560-1647 Party/Vendor <br /> Address: 101 City Hall PLaza City Durham State:NC Zip: 27701 Department: Animal Services Amount: $500/year Purpose:Animal <br /> Control Services Budget Code(s): Vendor#tbd (N/A if new vendor) Vendor is a BOCC consultant? Yes ❑No® Contract <br /> Type: (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 forbid <br /> were bids/RFPs received Yes❑No❑ Bid/RFP number This contract has been reviewed and approved by the Department Director <br /> as to technical content: <br /> Department Director's Signature: ``- -/ r� Date: / b <br /> P g <br /> 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 /> IT Director's Signature: Date: <br /> Risk Management <br /> Include the following coverages: ❑ CGL; ❑ Auto; ❑ WC; ❑ Professional; ❑ Property; E3-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: Date: /S IA!md <br /> Financial Services <br /> This Contract is conditioned pon appropriation by the Board of Commissioners Yes❑NoERr A budget amendment is necessary <br /> before approval Yes❑No[V. 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: qu-w AA1 Date: x� n <br /> County Attorney <br /> Approval by Board ❑ (Contracts over $25,000.00 or any BOCC consultant contract). Approval by Manager C;-f-xIf contracts <br /> $25,000.00 or less with the exception of BOCC consultants). This contract has been reviewed and approved by the Attorney as to legal <br /> form and sufficiency: <br /> Attorney's Signature - Date: 2 //0 <br /> County Manager <br /> This contract has been reviewed and is approved by the County Manager Yes o❑. <br /> This contract has been reviewed and is to be submitted for BO consider ion Ye No❑. <br /> Manager's Signature: Date: 1 2- <br /> C1 rk to the Board <br /> Submitted for Chair signature: <br /> f' <br /> Clerk's Signature: ' Date: III U <br /> Revised December 2009 <br />