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1 � <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 /> Department <br /> Party/Vendor Name: CenturyLink Party/Vendor Contact Person: Lee Canipe_Contact Phone: 828-291-2775 Party/Vendor Address: <br /> 320 First Avenue NW City Hickory State:NC Zip:28601 Departmen��O�C mount: $71,236.80 Purpose:E911 Budget Code(s): <br /> 35-7551-20-540000 Vendor#32159 (N/A if new vendor) Vendor is a consultant? Yes❑No® Contract Type: (Check one) <br /> New❑ Renewal® Amendment ❑ Effective Date 01/01/2010 Approved by Board Yes No❑ Agenda Date: Title of <br /> 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 con act has been reviewed and approved by the Department Director as to <br /> technical content: <br /> Department Director's Signature: Date: (r /17h6 <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; E910R 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: f�� Date: <br /> I&C t 9//V//o 2", <br /> Financial Services <br /> This Contract is conditioned upon appropriation by the Board of Commissioners Yes❑Now. A budget amendment is necessary <br /> before approval Yes❑NoW. 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 ontrol Act: �j /�/►/ <br /> Financial Services Director's Signature: .t✓ . 44t� Date: ` r*l o <br /> County Attorney <br /> Approval by Board ❑ (Contracts over $90,000.00 for goods or services, $250,000.00 for construction, or any BOCC consultant <br /> contract). Approval by Manager (All pther contracts). This contract has been reviewed and approved by the Attorney as to legal <br /> form and sufficiency: <br /> Attorney's Signature Date: 1-7 Z-olo <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 is to be submitted for BOCq nsiderahon Yes❑NoEr_____, <br /> Manager's Signature: 1&4 Date: E3 <br /> Clerl to the Board <br /> Approved by BOCC on the_day of ,20 Submitted for Chair signature on the_day of ,20 <br /> Clerk's Signature: Date: <br /> Revised April 2010 <br />