HomeMy WebLinkAbout2012-035 DEAPR - Erick Crepsac $2,000i
k ORANGECOUNTY-CONTRACTCONTROLSHEET
#, ' e ttorne i manager, Clerk
1' Risk tawi enicnt arse l re v
ontfn rcler� 1 par€meA, � r a In th Routing Order specified b ve. f t l ag r
ceor all coxntracts and shalt be slibinitted for li i contract for C approval. Contracts for
This ocu estt spa for Manager approval the Manager shall -s brnit t
eter�nines tile
orttrot is not appropriate
•
and complete) � routing proes Prior ta a re view, Contr
et fOr lei review should
BOCC approval st bxit #ed trough, nrouted fo r signature.
legal review process prior to Wing
be eoniplet d through #
Department party/Vendor dress 1'�
ol�tact Perri; Contact bone; � -'� t Cade
r date: Erick Cie Prtendr i ti �rpoc� sons Bodge
part /Ven D P Amour Les
ei State: to epartilett� Contract `pype� eo one) New
Elkhart Drive Ctt�y fa � Vendor is consultant? des � �� Title of �
Vendor # if ne, %v vendors a Agenda f ate
• f Approved y hard s� �a� i
l Amendment Effective ]date January pp
Ienc�� i
' Instruction
• �t f Conlisiortr s� NoO. I butt for � ��ero
Contract: � -application has been approved b the hoard o
Grant e=Cnt, pre pP v& w d and proved t y the f epa cnt Director a to j
�f this �
id RFP number This contract has been re
bids FPs re e IV
s 3
technical coat nt: 2 el If 2
Date:
Department Directory's Signature:
IT Director
• F ties bee ry reviewed and approved the formation
o ar� 11"ch ses or iselate services ni contract
�# ,duct �� � r�r car e ,� �
cohnology erector as to technical content and informatio n t gy
�to� Weicat'ons:
Date:
Director's igna "M
Risk axra went d
•- r� fe sional` Property; [O/OR No insurance
a �; � Auto', � �� � • • shown, this contract i approved
Include the f WIn cover do o insurance provision
' receipt of Certificate f Ittsranee El. �v�t�� torpor
o��tract pending
by the Risk Manager:
Risk Manager's Signature:
fV2
r
`'' 4� Financial ervlce rrrt i necessary
Board �` Cox���niss�c�rcrs es�No budget
ltlon d on appropriation b the fore lets instr � etlt has been pre - audited in the
'P# contract cost p et end nt i necessary, please attach to this
before ppr.ral Yes Iobn budget Control Act
nialmer required tiro oe ov rnine t Bridget and
i a elat Set -vices Director's signature; LiLk��"!ffi Date:
�out�t Attor�tc t� or � � consultant
for goods or services, ,00 ,0 for co structto y
Board Contract over and approved by the Attorney O's t legal
Approval by cis � 'pl�� colttract has been reviewed
Approval h Manager � other contra
contract). �p y
form and u ct n y: F
r Date; `
Attorney's
Count Manage
` ed b the Coutrtr Manager Yes 611•
root ���
This COW o �tra t � s been reviewed aid »app � eon ideratlon so o -
s been reviewed and be sor 1tted for
This contract lra 2
Date;
manager's signature: �
., Cie k to the Board
� o� the-, day f
Submitted for C11 air signature on th � a
Approved by .++
� Dated, �
Clerles Signature:
Revised April 2010