HomeMy WebLinkAbout2012-023 EDC- NC State University $10,000a �
ANG COUNTY CONTRACT CONTROL SHEET
Routing Order: 1 Department, 2 IT, Risk Management, Financial Services, 5 Attorney, Manager, 7 Clergy
This Document shall accompany all contracts and shall 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
B CC approval must be submitted through, and complete, the routing process prior to agenda review. Contracts for legal review should
be completed through the legal review process prior to being routed for signature.
Department
Party 'endor Name: NC State University for /ors behalf of Small Business and ` e of ._ el t..: .en �'. TD 1�a�Ne dor
.,f....._M.Mnn. ..,.....,.. :...N .....
Contact Person: Ron 11initch, Regional Director Contact Phone: 1 6�-ry Party /Vendor Address- Airport Read, Ito ��
Chapel Hill State: NC Zip: 2 7514 Depaftnent: Economic Development Amount: $10,000.00 Purpose: T maintain regional office in
....... ::........ r
range Count rove enera usines consu tin services cunen the are
A. n,,... ' as ..:.xnte:rntoua ...# tee nolgy declopnent..and
government procurement available to small f in s andµ d- b&__dr rs...ir� r n e ..County. Budget Code(s): 1 0600020-63 0000
............................................................. ............................... .
............... .
Vendor # (N ' ifi wnd& .........Vendor is a consultant . Yes No Contract Type: (Cheep one) New ❑ Renewal
M Amendment ❑ Effective Date July 1, 2011 Approved by Board Yes❑ No Z Agenda Date: Title of Contract:
If this is a Grant Agreement, pre - application has been approved by the Board of Commissioners 'S e ❑ No❑. If submitted for bid were
bids/RFPs received Yes❑ Non BidIRPP number This contract has been reviewed and approved by the Department Director as to
technical content-
Department Director's i nature: �. ,� � � � bate: � � �. 1
g
IT ` i) cto r
(Applicable only to h � d rely° fhvare purchases related services) *s contract has been reviewed and approved by the Information
Technology Director as to technical content and information technology specifications:
IT Director's Signature:
Date:
Risk Management
Include the following coverages: Ej C L; ❑ Auto; ❑ WC; [:] Professional; El Property; OR No Insurance Required Hold
Contract pending receipt of Certificate of Insurance E]. With incorporation of Insurance provisions as shown, this contract is approved
by the Risk Manager:
Risk Manager's Signature: Date: 0 - I Z,/
Financial Services
This Contract is conditx n d upon, appropriation by the Board of Commissioners Yes ❑No A budget amendment is necessary
before approval Yes❑ NQkN. If budget amendment is necessary, please attach to this form. Khiinstrument has been pre - audited in the
manner required by the Local Govermnent Budget and Fiscal Control Act:
Financial Services Director's Signature: � Date:
u t .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 M (All other contracts). This contract has been reviewed and approved by the Attorney as
to legal form and sufficiency:
Attorney's Signature Date:
County Manager 4
This contract has been reviewed and is approved by the County Manager 80 No❑:
This contract has been reviewed and is for signature by the Chair Yes ❑N ❑: �...
Manager's Y nature: Date:
Approved by BOCC on the day of _ , 20 ed for Chair signature on the
.,
Clerk's Signature: Date:
Revised November 201