HomeMy WebLinkAbout2012-362 S EMS - NC Emergency Management for Emergency Management Performance Grant $35,000 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: North Carolina Emergency Management Party/Vendor Contact Person: Doug Hoell,Director Contact Phone:919-
825-2500 Party/Vendor Address:4713 Mail Service Center City Raleigh State:NC Zip: 27699-4713 Department: Emergency Services
Amount: Purpose: Emergency Management Program 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:2012 Emergency Management Performance Grant
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: fie'
�n
Department Director's Signature: Date: D l
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 9.. 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: w A 41, Date: 2-
Financial Services
This Contract is conditioned 4pon appropriation by the Board of Commissioners Yes❑NoE .. A budget amendment is necessary
before approval Yes❑No[y. 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 Con 1 Act-
Financial Services Director's Signature: y4_eC,-, Date:
County Attorney
Approval by Board ❑ (Contracts over $90,000.00 for goods or services, $250,000.00 for construction, or any BOCC consultant
contract). Approval by Manag EX(All other contractsµ is contract has been reviewed approved by the Attorney as to legal
form and sufficiency: f'u�'►dS er '-
Attorney's Signature Date: -I IZ 1Z
County Manager
This contract has been reviewed and is approved by the County Manager Y No❑.
This contract has been reviewed and is to be submi or BOCC consideration Yes❑NoE].—
Manager's Signature: Date:
CleA Ahe Board
Approved by BOCC on the day of 20 S tted for Chair signature on t e day of 20
Clerk's Signature: Date: L—
Revised April 2010