HomeMy WebLinkAbout2012-233 S DSS - Information Inc for Daysheet maintenance $10,000 _���-
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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 K4anuge,
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
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Department
yurtyNendorName: Information, Inc Party/Vendor Contact Person: Michael Bradley Contact Phone:919-545-0246 Party/Vendor
Address: 9961 NC HWY 87N City Pittsboro State: NC Zip: 27312 Department: DSS Amount: not to exceed$10,000 Purpose:
Daysheet maintenance Budget Code(s): Vendor# /A if new vendor) Vendor is a BOCC consultant? Yes 0 Nop
Contract Type: (Check one)New Renewal El Amendment [l Effective Date 07/01/12 Approved by Board TooZNop
Agenda Date: Title of Contract:NC DaySheet Maintenance Agreement
If this is a Grant Agreement, pre-application has been approved by the Board of CommissionnmYce0 NoEl. If submitted for bid were
hidv/QFPs received`/coLiY4oFl Bid/QFPoumber This contract has been reviewed and approved by the Department Director as to
technical content:
Department �in:o�or`n�i�n^�"nc� ^' Date: 01 -10 _1'J--'
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: El COL; El Auto; Fl WC; 0 Professional; El Property; OR No Insurance Required E' Hold
Contract pending receipt of Certificate of Insurance El. With incorporation of Insurance provisions as shown, this contract is approved
by the Risk Manager:
Risk Manager's Signature: 1WL4-tA- I' Date: 112-1 (2~
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Financial Services
This Contract iscnndihonepnn appropriation by the Board of Commissioners YeaEiNod A budget amendment is necessary
before approval Yco[l Noggr. 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:
7 [21 (2"
Financial Services Director's Signature: Lt .)) ~ Date:
County Attorney
Approval by Board Ej (Contracts $90,000.00 or more for goods or services, $250,000.00 or more for oonotruution, or any BOCC
consultant contract). Approval by Manager LI (Most other contracts$1,000 and above). Department Director approval only (Under
$1,000). This contract h d roved by the Attorney as to legal form and sufficienc :
Attorney's Signature .��� � Date: '����/ /��
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County Manager
This contract has been reviewed and is approved by the County Manager Ycer^o[l.
This contract has been reviewed and is for signature by the C air YcoDNo2.
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Manager's Signature: �� if 1 ^�0 Date: —� — //� ~/ 2--� '
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Clerk 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