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: Coleman Gledhill Hargrave&Peek Party/Vendor Contact Person: Geof Gledhill Contact Phone: 919-732-2196 <br /> Party/Vendor Address: 129 E. Tryon City Hillsborough State:NC Zip: 27278 Department: County Attorney Amount: 25,000 Purpose: <br /> Consulting Budget Code(s): 630000/511000 Vendor# 50218 (N/A if new vendor) Vendor is a BOCC consultant? Yes ❑No® <br /> Contract Type: (Check one)New® Renewal ❑ Amendment ❑ Effective Date 1/1/10- 12/31/10 Approved by Board Yes❑No <br /> ® Agenda Date: 1/2 1/10 Title of Contract: Agreement for Legal Services <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: 4 <br /> Department Director's Signature: `" Date: <br /> 61 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 to eci ications: <br /> IT Director's Signature: Date: <br /> Risk Management <br /> Include the following coverages: ❑ CGL; ❑ Auto; ❑ WC; ❑ Professional; ❑ Property; ❑ OR No Insurance Required El 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 conditioned upon appropriation by the Board of Commissioners Yes❑No . A budget amendment is necessary <br /> before approval Yes❑No[✓j. 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: � ^' �' -+ Date: <br /> County Attorney <br /> Approval by Board ® (Contracts over $25,000.00 or any BOCC consultant contract). Approval by Manager ❑ (All 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: <br /> County Manner <br /> This contract has been reviewed and is approved by the County Manager Y No❑. <br /> This contract has been reviewed and is to be submitted for BOCC cons' eration Ye o❑. <br /> Manager's Signature: Date: ! v <br /> Clerk lo the Board <br /> Submitted for Chair signature: <br /> Clerk's Signature: Date: ` cPa' 2QVd <br /> //,;1 X16 <br /> Revised December 2009 <br />