HomeMy WebLinkAbout2012-050 Planning CrossBridge Solutions Inc $768 per yrw�
ORANGE COUNTY—CONTRACT CONTROL SHEET
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U, Routing Order: (1) Depart nt, (2) IT, Risk Management, Financial Services, Attorney, M anag r, 7 Clerk
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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 B C approval. Contracts for
BOCC 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. 10(a 1�6&2 0-- V,2 6 013
Department
- Party / ndor Name: Qtr . lutions, Inc. Part 1. endor Contact Person: Bryan Buckley Contact P e: 847-478-4806
Party/Vendor Address: 300 Knightsbridge Parkway, Ste. 120 City Lincolnshire State: IL Zip: 60069 rtment: Planning Amount:
76 /yr. Purpose: Internet cell modem service for Twice r* g .yemot nit xrina Budget Code (s.): (N if
Y..- t- �..,... �,.. _�.. V----....-- m . ........ .......N_...x�n.:.:: _........... ....w.- ...ry._n.:,....::........ .. w....::... .. .: �,�..�...v......v. .
new vendor) Vendor• i B CC consultant? Yes ❑ N N Contract Type: (Check one) New M Renewal ❑ Amendment ❑
Effective Date ASAP after signatures by both parties Approved toy Board Yes❑ N Z Agenda Date: Title of Contract:
P S /GSM Afili e User Agreement
If this is a Grant Agreement, pre - application has been approved by the Board of Commissioners Yes ❑ No❑ ■ If submitted for bid were
bids/RFPs received Yes❑ No❑ id RFP number This contract has been reviewed and approved by the Department Director as to
technical content:
Department Director's Signature: Date:
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IT Director
(Applicable only to hardivarelsoftware pw-chases or related seta This contract has been reviewed and approved by the Information
Technology Director a to technical content and information technology specifications:
MEOW 20. 4w 47
IT Director's Signature: M.,! Date: 0
Risk Management
Include the following coverages: ❑ L; El Auto; ❑ WC; [:1 Professional; El Property; OR No Insurance Required Hold
Contract pending receipt of Certificate of Insurance ❑. 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 onditio d pon appropriation by the Board of Commissioners Yes ❑N budget amendment is necessary
before approval Yes❑ N If budget amendment is necessary, please attach to this form. 1 instrument has been pre-audited in the
manner required by the Lo a Government Budget and Fiscal Control Act:
Financial Set-vice Director's Signature.. jy, Date: �
County Attorney
Approval by Board [:1 (Contracts $90,000.00 or more for goods or ervi es, $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 s
to legal form and sufficiency:
Attorney's S' roature Date:
County Maim er
This contract has been reviewed and is approved by the County Manager Y ❑ No❑,
This contract has been reviewed and is for signature by the Chaff , Yes []No ❑.
Manager's Signature: � x. �... Date:
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Approved by BOCC on the day of .. bitted for Chair signature on the day of , 2�.
Clem Signature: �+ I ate,
:
Reprised November 2011