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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: Polaris Party/Vendor Contact Person: Kevin Bryans Contact Phone: 315-634-4520 Party/Vendor Address:Box <br /> 4903 City Syracuse State:NY Zip: 13221-44903 Department: Library Amount: 21,000 Purpose:technology project-exit services for <br /> ILS Budget Code(s):613700 35 897046 30007 Vendor#51606 (N/A if new vendor) Vendor is a BOCC consultant? Yes❑No® <br /> Contract Type: (Check one)New® Renewal ❑ Amendment ❑ Effective Date Approved by Board Yes❑No❑ <br /> 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 for bid were <br /> bids/RFPs received Yes❑Non Bid/RFP number This contract has en reviewed and approved by the Department Director as to <br /> technical content: <br /> Department Director' ignat <br /> IT it for <br /> (Applicable only to hardware/software purchases or related serve es)This contract has been reviewed and approved by the Information <br /> Technology Director as to technic c t d information technology specifications: <br /> IT Director's Signature: f1G f 1 U Date: <br /> Risk Management ,�.{ <br /> Include the following coverages: E] CGL; ❑ Auto; E] WC; ❑ Professional; ❑ Property; OR No Insurance Required EZI 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: l <br /> Risk Manager's Signature: �_ <br /> Date: ! <br /> Financial Services <br /> This Contract is conditioned u on appropriation by the Board of Commissioners Yes❑No[�.' A budget amendment is necessary <br /> before approval Yes❑ No&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 a d Fiscal Control <br /> Financial Services Director's Signature: b ,A,-,— Date: 24 12_ <br /> County Attorney <br /> Approval by Board ❑ (Contracts $90,000. 0 or more for goods or services, $250,000.00 or more for construction, or any BOCC <br /> consultant contract). Approval Manager (Most other contracts$1,000 and above). Department Director approval only❑ (Under <br /> $1,000). This contract has bee e `ewe a d proved by the Attorney as to legal form and sufficiency: <br /> Attorney's Signature Date: 3 l� <br /> County Manager <br /> This contract has been reviewed and is approved by the County Manager YesE![`No❑. <br /> This contract has been reviewed and is for signature by the Cha Yes❑NoLD--'_ <br /> Manager's Signature: } Date: C ` <br /> Clerk 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 March 2012 <br />