Orange County NC Website
��%c r �.• 7511 <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: Fairway Outdoor Funding Party/Vendor Contact Person: Tim Craven Contact Phone: 919-755-1900 <br /> Party/Vendor Address: 8520 CIiff Cameron Dr.Suite 460 City Charlotte State:NC Zip:28269 Department:Human Rights&Relations <br /> Amount: $850.00 Purpose:Provider will display HR&R billboard ad for one month Budget Code(s):30460020-790009-71300 Vendor <br /> #62083 (NIA if new vendor) Vendor is a BOCC consultant? Yes❑No® Contract Type:(Check one)New® Renewal❑ <br /> Amendment ❑ Effective Date December 3,2018 Approved by Board Yes[]No❑ Agenda Date: December 3,2018-December <br /> 30,2018 Title of Contract: OCHR&R Billboard Ad <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❑ BidIRFP number This contract has been reviewed and approved by the Department Director as to <br /> technical content: <br /> Department Director's Signature: Date: 1 t I <br /> IT Director <br /> (,Ipplicable only to hardwarelsaftware 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 Mana ement <br /> Include the following coverages: ❑ CGL; ❑ Auto; ❑ WC; ❑ Professional; ❑ Property; 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: �C` t; ._ Date: l <br /> Fi ancial Services <br /> This Contract is conditioned upon appropriation the. 'o of Co ar mmissioners Yes❑No❑. A budget amendment is necessary <br /> before approval Yes❑No❑. If budget amend t i c sary,please attach to this form. This instrument has been pre-audited in the <br /> manner required by the local Government Bud t s Control Act: <br /> Financial Services Director's Signature; Date: l <br /> County Attorne <br /> Approval by Board ❑ (Contracts $90,000,00 or more for goods or services, $250,000.00 or more for construction, or an-y�OCC <br /> consultant contract). Approval by Manager❑(Most other contracts$1,000 and above). Department Director approval only Q(Under <br /> * ,000). This contract has been reviewed and approved by the Attorney as to legal form and sufficiency: <br /> Attorney's Signature ccz& Date: I I I IIrG <br /> County Manager <br /> This contract has been reviewed and is approved by the County Manager Yes❑No❑. <br /> This contract has been reviewed and is for signature by the Chair Yes❑N❑❑. <br /> Manager's Signature: Date: <br /> Clerk to the Board <br /> Approved by BOCC on the_day of 120 Submitted for Chair signature on the_day of ,20 <br /> Clerk's Signature: Date: <br /> Revised March 2012 <br />