Orange County NC Website
�- 2 <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 /> L, &kq 0� �r � �r Department �,p <br /> Party/Vendor Name: / Party/Vendor Contact Person Contact P one: Pa Vendor Address: City <br /> State: Zip: Department: Library Amount: Purpose:Programming f ibrary udget Code(s): 10500020-630000 <br /> Vendor# (N/A if new vendor) Vendor is a BOCC consultant? Yes ❑No[X Con ype: (Check one)New❑ Renewal <br /> ❑ Amendment ❑ Effective Date 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 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: 12,-i rx �,� �rY � • <br /> Department Director's Signatur Dat <br /> IT Director <br /> (Applicable wily to hardware/softwar•e 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: 1 v 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 El. With incorporation of Insurance provisions as shown, this contract is approved <br /> by the Risk Manager: <br /> Risk Manager's Signature. Date: Z lD Lz)/U <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 Budget and Fiscal Control Act: <br /> Financial Services Director's Signature: ..�✓ , AV—, Date: lho <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 /> 's Signature D ate. 1-2 /S/�C <br /> Attorne <br /> y g / <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 BOCC conside tion Yes❑Npa, <br /> Manager's Signature: Date: <br /> �ejrto the Board <br /> Submitted for Chair signature: <br /> Clerk's Signature: 1A Date: <br /> Revised December 2009 <br />