HomeMy WebLinkAbout2012-069 S Finance - Ferrell Firm $17,5000C) I �2 — C--)(Oct
ORANGE COUNTY - CONTRACT CONTROL SHEET{ C�
Routing Order: (1) Department, (2) IT, (3) Risk Management, (4) Financial Services, (5) Attorney, (6) Manager, (7) Clerk
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
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.
Department
Party/Vendor Name: Ferrell Firm Party/Vendor Contact Person: Brian Ferrell Contact Phone: 919 883 4960 Party /Vendor Address:
P.O. Box 16564 City Chapel Hill State: NC Zip: 27514 Department: Finance Amount: 17,500 Purpose: Legal Services Budget
Code(s): Vendor # (N /A if new vendor) Vendor is a BOCC consultant? Yes ❑ No® Contract Type: (Check one) New
❑ Renewal ❑ Amendment ❑ Effective Date Approved by Board Yes❑ No❑ Agenda Date: Title of Contract:
If this is a Grant Agreement, pre - application has been approved by the Board of Commissioners Yes❑ N96. If submitted for bid were
bids/RFPs received Yes❑ No] Bid/RFP number This contract has been reviewed and approved by the Department Director as to
technical content:
Department Director's Signature: Yom— '^a 'A /4�, Date: 31 1 S 1 t 2
IT Director
(Applicable only to hardware /software purchases 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:
Risk Management
Date:
Include the following coverages: ❑ CGL; ❑ Auto; ❑ WC; ❑Y _Professional; ❑ 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: 4ail Date:
Financial Services
This Contract is condition d upon appropriation by the Board of Commissioners Yes ❑No A budget amendment is necessary
before approval Yes[:] No - If budget amendment is necessary, please attach to this form. T is instrument has been pre - audited in the
oca
manner required by the L If
Budget and Fiscal Control Act:
Financial Services Director's Signature: a"", Date:
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 ® (Most other contracts $1,000 and above). Department Director approval only ❑ (Under
$1,000). This contract has been reviewed and approved by the Attorney as to legal form and sufficiency:
Attorney's Signature Date: 3i I q
County Manager
This contract has been reviewed and is approved by the County Manager YesE7 No ❑.
This contract has been reviewed and is for sigagWe by the Chair, Yes❑No�
Manager's Signature:
Approved by BOCC on the _ day of ,
Clerk's Signature:
Revised March 2012
Date: 3,
Ira
for Chair signature on the day , 20
Date: (/1/