HomeMy WebLinkAbout2012-013 S Planning - Town of Hillsborough $ BlankORANGE COUNT -- CONT CT CONT L SIB ' `
Routing Order: 1 Department, IT, Risk Management, Financial Services, Attorney, Manager, 7 Clerk
This Document shall accompany a] i contracts and shat I be submitted for signature in the Routing Order specified above. If the Manager
determines the contract is not appropriate for Manager- approval the Manager shall submit the contract for BOCC approval. Contracts for
BOCC approval must be submitted through, and complete, the routing process prior to agenda review. Contraets for legal review should
be completed through the legal review process prior- to being routed for signature.
Department
Prtyndor• Marne: Par;tyNendor Contact Person: Contact Phone: Partyendr Address: city
State- Department: Amount: Purpose: Bud et Code(s): Vendor #
(N if new
vendor ) vendor is BOCC consultant? Yes NoEl Contract Type: (Cheek one ) New 0 Renewal [ ] Amendment 0 Effective
CTt te 1-24-12 Approved -by Board Y sZ No[ Agenda Date: Title of Contract: TP
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
bids/RFPs received Yes[] NoZ I id/RFP number This contract has been reviewed and approved by the Department Director as to
,.... ecnieal content:
y -
Department Director's Signatu Date.
do
IT Director
(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
Technology Director as to technical content and information technology specifications:
IT Director's Signature: Date:
Ris] Manag meat
Include the following coverages: ❑ CGL; ❑ Auto; El WC; 0 Professional
❑ Property; OR No Insprncc .e uircd ❑. Hold
Contract pending receipt of Certificate of Insurance ED. with incorporation of Insurance provisions as shown, this contract is approved
by the Risk Manager:
Risk Manager's Signature: Date:
Financial Services
This Contract is conditioned upon appropniation by the Board of Commissioners Yes ®NoEl A budget amendment is necessary
before approval Yeses N R. If budget amendment is necessary, please attach to this form. This instrument has been pre-audited in the
manner- required by the Local Government Budget and Fiscal Control Act:
Financial Services Director's Signature: bate:
County Attorney
Approval by Board (Contracts $90,000.00 or more for goods or services, $250,000.00 or more for construction, or any BOCC
consultant contract). Approval by Manager (All other contracts). This contract has been reviewed and approved by the Attorney as
to legal form and sufficiency-
Attorney's Signature g Date.
County ManaLler
This contract has been reviewed and is approved by the County Manager YesZ NoFT
This contract has been reviewed and is for signature by the Chair Yeso oEj.
Manager's Signature. .- ..- .. -.... A Date:
Clerk to the Board
Approved by B CC on the day of . � 20 � SU d for Chair signature on the � clay of , 20
Clerk's Signature. Date:
Revised November 011