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HomeMy WebLinkAbout2012-093 and 094 Library - Racher Galper and Art Fettig ORANGE 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 4 3,a, :`1l completed through the legal review process prior to being routed for signature. `3-,o f -t'f/) Department Party/VendM Name: Galper/Fettig PartyNendor Contact Person: Rachel Galper/Art Fettig Contact Phone: PartyNendor Address: City State: Zip: Department' b C mount: 475 & 100 Purpose: Budget Code(s): 1050020-630000 Vendor# (N/A if new vendor) Vendor is a BO 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 No❑. If submitted for bid were bids/RFPs received Yes❑No❑ Bid/RFP number This contra t has been reviewed and approved by the Department Director as to technical content: Department Director's Signature: �'/ .4.7- Date: /2,eplpz,. l irector (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: Date: Risk Management Include the following coverages: ❑ CGL; ❑ Auto; ❑ WC; ❑ 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: t;ac Date: L• Z 3. /-? Q20c-`d W2,4/ a- .2 co-,tih¢t c,t / `' Pa c>:, Financial Services This Contract is conditioned upon appropriation by the Board of Commissioners Yes❑No®. A budget amendment is necessary before approval Yes Non. If budget amendment is necessary, please attach to this form. This instrument has been pre-audited in the manner required by the Local Government Budget and Fiscal Control Act: / Financial Services Director's Signature: `mil '1 4'_{ .. A �d'''"- Date: 911- 111- 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 OA (Under $1,000). This contract has been ,-viewed and approved by the Attorney as to legal form and sufficiency: Attorney's Signature ` • yeA Date: ./la71,2 County Manager This contract has been reviewed and is approved by the County Manager YesaiNloa This contract has been reviewed and is for ' at re,f y +e hair Yes0NoEK Manager's Signature: I Date:+ ,j/I Clerk to the : +arI Approved by BOCC on the day of ,20 . S et + Chair signature on day of ,20 . Clerks Signature: \f� - Date: Lt Revised March 2012