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ORANGE COUNT -- CONT CT CONT L SIB ' ` <br />Routing Order: 1 Department, IT, Risk Management, Financial Services, Attorney, Manager, 7 Clerk <br />This Document shall accompany a] i contracts and shat I 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. Contraets for legal review should <br />be completed through the legal review process prior- to being routed for signature. <br />Department <br />Prtyndor• Marne: Par;tyNendor Contact Person: Contact Phone: Partyendr Address: city <br />State- Department: Amount: Purpose: Bud et Code(s): Vendor # <br />(N if new <br />vendor ) vendor is BOCC consultant? Yes NoEl Contract Type: (Cheek one ) New 0 Renewal [ ] Amendment 0 Effective <br />CTt te 1-24-12 Approved -by Board Y sZ No[ Agenda Date: Title of Contract: TP <br />x a Grant greerrr n , P ' -app Yea pan —Te approve y e Board f Commissioners Y s[Z No[�. If submitted for bid were <br />bids/RFPs received Yes[] NoZ I id/RFP number This contract has been reviewed and approved by the Department Director as to <br />,.... ecnieal content: <br />y - <br />Department Director's Signatu Date. <br />do <br />IT Director <br />(Applicable , to f ar•di.t)ai•els i.t ?aiie irii l7ase 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 />Ris] Manag meat <br />Include the following coverages: ❑ CGL; ❑ Auto; El WC; 0 Professional <br />❑ Property; OR No Insprncc .e uircd ❑. Hold <br />Contract pending receipt of Certificate of Insurance ED. 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 appropniation by the Board of Commissioners Yes ®NoEl A budget amendment is necessary <br />before approval Yeses N R. 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: bate: <br />County Attorney <br />Approval by Board (Contracts $90,000.00 or more for goods or services, $250,000.00 or more for construction, or any BOCC <br />consultant contract). Approval by Manager (All other contracts). This contract has been reviewed and approved by the Attorney as <br />to legal form and sufficiency- <br />Attorney's Signature g Date. <br />County ManaLler <br />This contract has been reviewed and is approved by the County Manager YesZ NoFT <br />This contract has been reviewed and is for signature by the Chair Yeso oEj. <br />Manager's Signature. .- ..- .. -.... A Date: <br />Clerk to the Board <br />Approved by B CC on the day of . � 20 � SU d for Chair signature on the � clay of , 20 <br />Clerk's Signature. Date: <br />Revised November 011 <br />