HomeMy WebLinkAbout2012-087 S Agreement EMS - Solutions for Local Government Inc $28,000ORANGE COUNTY — CONTRACT CONTROL SHEET
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.
Departmen#
Party/Vendor Name: Solutions for Local Government, Inc. Party/Vendor Contact Person: Stephen J. Allan Contact Phone: 866 -300-
3545 Party/Vendor Address: 2301 Valencia Terrace City Charlotte State: NC Zip: 28226 Department: Emergency Services Amount:
$28,000.00 Purpose: Comprehensive Assessment of Orange County Emergency Medical Services and a 411 /Communications O ep ration
Study Budget Code(s): 35755120- 630000 Vendor # N/A (N /A if new vendor) Vendor is a BOCC consultant? Yes ® No❑
Contract Type: (Check one) New ® Renewal ❑ Amendment ❑ Effective Date 3128112 Approved by Board Yes® No❑
Agenda Date: 3122112 Title of Contract: EMS and 911 Study
If this is a Grant Agreement, pre- application has been approved by the Board of Commissioners Yes❑ No❑. If submitted for bid were
bidslRFPs received Yes❑ Non Bid/RFP number This contract has been reviewed and approved by the Department Director as to
technical content:
Department Director's Signature: _ Date: ho e-
rr Director
(Applicable only to har&are/sofhvare 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: sV646 W y* p qo 4Ahgs , NA. Date: .4 It l z
Risk Management
Include the following coverages: ❑ CGL; ❑ Auto; ❑ WC; ❑ Professional; ❑ Property; OR No Insurance Re uired ❑% 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: � • l � ° � �°
Financial Services
This Contract is conditionupon appropriation by the Board of Commissioners Yes ❑No . A budget amendment is necessary
before approval Yes❑ No W. If budget amendment is necessary, please attach to this form. This instrument has been pre - audited in the
manner required by the Local Government Budgpt and Fiscal Contro Act:
Financial Services Director's Signature: A Date: ! I
County Attorney
Approval by Board ❑ (Contracts $90,0020.Op 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 b n viol , d approved by the Attorney as to legal form and sufficiency:
Attorney's Signature J Date: At I Itz-
County Manager
This contract has been reviewed and is approved by the County Manager Yep❑ "No❑.
This contract has been reviewed and is for signature by the Chair Yes ❑No❑.
Manager's Signature:
Approved by BOCC on the _ day of , 20 . Submitted
Clerk's Signature:
n.,.., .,-A M_ --I, 7n'1 ')
Date:;
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