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e) -,;, <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 /> r Department � <br /> 70 �T�Party/Vendor Name:4r��S Party/Vendor Contact Person: Contact Phone: Party/Vendor Address: F1%� "I*pe <br /> N;//j&r j <br /> State: fi(_ Zip:2-7 27g Department: P`,(z Amount:5,4-o Purpose: Budget Code(s): Vendor# (N/A if new <br /> vendor) Vendor is a BOCC consultant? Yes ❑No[Z Contract Type: (Check one)New X Renewal ❑ Amendment ❑ Effective <br /> Date Approved by Board Yes❑NoD 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 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: Date: gp s /a <br /> E/ IT Director <br /> (Applicable only to hardware/software purchases or related services)This contract has been reviewed and approved by the Information <br /> Technolo y Director as to technical content and information technology specifications: <br /> IT Director' ignature: Date: <br /> Risk Management <br /> Include t e following coverages: ❑ CGL; El Auto; ❑ WC; ❑ Professional; ❑ Property; ❑ OR No Insurance Required ❑. Hold <br /> Contract pending receipt of Certificate of Insurance E]. With incorporation of Insurance provisions as shown, this contract is approved <br /> by the Risk Manager: <br /> Risk Manager's Signature:-qm Date: <br /> I�C Ice 2_1S12 O 10 <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❑. 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 Budg t and Fiscal Control Act: <br /> Financial Services Director's Signature: &4, Y Date: <br /> County Attorney <br /> Approval by Board ❑ (Contracts over $25,000.00 or any BOCC consultant contract). Approval by Managerkji (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:69 <br /> County Manager <br /> This contract has been reviewed and is approved by the County Manager Ye No[:]. <br /> This contract has been reviewed and to be sub ed for BOCC consideration Yes❑NOL� <br /> r <br /> Manager's Signature: _ e Date: <br /> Clerk to the <br /> Board <br /> bmi for Chair signature: <br /> C rk's nature: Date: <br /> Revised December 2009 <br />