HomeMy WebLinkAbout2012-212 S EMS - EnviroSafe Inc for Emergency Preparedness Exercises $41,958 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
be completed through the legal review process prior to being routed for signature.
Department
Party/Vendor Name: EnviroSafe Inc. Party/Vendor Contact Person: Kevin Dull Contact Phone: 336-226-4896 Party/Vendor Address:
17 SE Court Street City Graham State:NC Zip:27253 Department: Administration Amount:41958.00 Purpose:Emergency
Preparedness Exercises 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: Orange County 2012 Exercise Series- Services 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 YesZ No❑ Bid/RFP number Informal per FinanceThis contract has been reviewed and approved by the
Department Director as to technical content:
Department Director's Signature: Date: 041 mit ti
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; [f Auto. [1 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: 1."u;J L.4 1(4 II-
Risk Manager's Signature: "A,.....-- J . n Date: ! t a ll I'
Financial Services
This Contract is conditioned 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. This instrument has been pre-audited in the
manner required by the Loca Government Budget and Fiscal Control Act:
n� 115 112, lkA .,w ,0 .d � 10/IL
Financial Services Director's Signature: �� Date:
County Attorney
Approval by Board ❑ (Contracts $90,000�0q or more for goods or services, $250,000.00 or more for construction, or any BOCC
consultant contract). Approval b i anager (Most other contracts$1,000 and above). Department Director approval only❑ (Under
$1,000). This contract has been - ;w-d ..ja roved by the Attorney as to legal form and sufficie y:
Attorney's Signature 1' �0 Date: �--
County Manager
This contract has been reviewed and is approved by the County Manager YesErNo❑.
This contract has been reviewed and is for sign. ure by the Chair Yes❑Noa
Manager's Signature: il
4 //, Date: 2— 7G- 13-*
Cle to the Board
Approved by BOCC on the day of ,20 . Submitted for Chair signature on the day of ,20 .
Clerk's Signature: Date:
Revised March 2012