HomeMy WebLinkAbout2012-310 S Library Friends of the Mueum -Programming $90 -3 1C) e-0 I �-���
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 bu 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
Purty/VoudorNumo: Party/Vondor[outuot Person: ____ Contact Phone: Party/Vendor Address:
_____
City- State:_____ Zip:____ Department: Libra Amount: Purpose:
Code(s): Vendor#_____ (N/Ai[new vendor) Vendor is aBOCC consultant? Yes Z Contract Type:
(Check one)New Z Renewal F-1 Amendment El Effective Date____ Approved 6yBoard YeaE]NoZ Agenda Date:
____
Title oy Contract:
_____
If this is a Grant Agreement, pre-application has been approved hythe Board of Commissioners Yemo NnZ. If submitted for bid were
hido/BF9sr000ived YesFl NoZ and approved by the Department Director aotn
technical content:
7F�
Department Director's S Date:
rector
(Applicable only,mhur6wormtcfhvurepn,x6on or related cex)This contract has been reviewed and approved 6y the Information
Technology Director uxto technical content undiofoonuhon1ecbonlog/mpeoificotiona:
IT Director's Signature: Date:
Risk Manaeemen
Include the following coverages: [_� CGL; [] Auto; r_1 WC; [] Professional; Fj Property; OR No Insurance Reguired Z. Hold
Contract pending receipt of Certificate of Insurance FT With incorporation of Insurance provisions as shown, this contract is approved
by the Risk Manager:
Risk Manager's Signature: da"t., A---- Date: �10 I
Financial Services
This Contract is conditioned upon appropriation by the Board of Commissioners YesE]NoZ. A budget amendment is necessary
before approval YesF� NoZ. If budget amendment is necessary,please attach to this form. This instrument has been pre-audited in the
manner required by the Local Government Budgetand Fiscal Control ct,
Financial Services Director's Signature: ya,� �, Au-� Date: to 2-
County Attorney
Approval by Board F1 (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 Z (Under
$1,000). This contract has beeWviewed and approved by the Attorney as to legal form and sufficiency:
Attorney's Signature Date: cqlll�
County Manaze
This contract has been reviewed and is approved by the County Manager Yes[]No[].
This contract has been reviewed and is for signature by the Chair YesMNoZ.
Manager's Signature: Date: e
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