HomeMy WebLinkAbout2012-118 S EM - NCEm for Training $45,000 .0 ORANGE COUNTY-CONTRACT CONTROL SHEET 3
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: NCEM Party/Vendor Contact Person: Dianne Benton Contact Phone: 919-733-3825 PartyNendor Address:4713
Mail Service Center City Raleigh State:NC Zip:27699 Department: Grants/Training Amount:45000.00 Purpose: EM Training
Budget Code(s): Vendor# (N/A if new vendor) Vendor is a BOCC consultant? Yes❑No Contract Type:(Check
one)New r Renewal❑ Amendment ❑ Effective Date Approved by Board Yes❑No Agenda Date: Title of
Contract: Homeland Security Grant Program(FY 2011-SS-00119-S01)
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 contract has been reviewed and approved by the Department Director as to
technical content:
. /'
Department Director's Signature: Al L � ie_ - Date: 14IIZ--
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: Date:
Risk Management
Include the following coverages: ❑ CGL; ❑ Auto; ❑ WC; ❑ Professional; ❑ Property; OR No Insurance Required C. 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:C/24flk. 1k(' 4 Date: 5. 16 • 17
/-!--c't 'r" , /15//.7
Financial Services
This Contract is conditionupon 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. Th instrument has been pre-audited in the
manner required by the Local Government Budget a /d Fiscal Control Act:
Financial Services Director's Signature: u/11.-v( .■ AA0.- Date: 5[v[ I.
County Attorney
Approval by Board ❑ (Contracts $90,000 0 or more for goods or services, $250,000.00 or more for construction, or any BOCC
consultant contract). Approva I■ Manager (Most other contracts$1,000 and above). Department Director approval only❑(Under
$1,000). This contract has bee ,- iewed and approved by the Attorney as to legal form and sufficie y:
l� C
Attorney's Signature Date:
County Manager
This contract has been reviewed and is approved by the County Manager Yelp No❑.
This contract has been reviewed and is for signature by the CM' Yes0No12!
Manager's Signature: Date: 1-2 S 5 - (
lerk ti..he L oard
Approved by BOCC on the day of ,21 . :11V-d for Chair signature on t d y of ,20 .
0 Clerk's Signature: t ik Date:
Revised March 2012