HomeMy WebLinkAbout2012-418 S Soil & Water - NC Dept of Agriculture and Consumer Services for Matching Funds $56,950 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: NC Dept. of Agriculture and Consumer Services(NCDA&CS) Party/Vendor Contact Person: David B.Williams
Contact Phone: 919-715-6303 Party/Vendor Address:Div. of Soil&Water Conservation, 1614 Mail Service Center City Raleigh State:
NC Zip: 27699-1614 Department:DEAPR-S&W Division Amount:Receiving Grant Funds in the amount of $56,950.00 Purpose:
District Matching Funds&Cost Share Technical Assistance Funds for Orange County Soil&Water Conservation District Operations
Budget Code(s):N/A Vendor#N/A (N/A if new vendor) Vendor is a BOCC consultant? Yes❑No❑ Contract Type: (Check one)
New❑ Renewal❑ Amendment ❑ Effective Date Approved by Board YesX No❑ Agenda Date:;4/j,14tle of
Contract:
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: Date: 12 5 2
IT Director
(Applicabl only to hardware/software purchases or related services)This contract has been reviewed and approved by the Information
chnol gy Director as to technical content and information technology specifications:
I; rtor's Signature: Date:
Risk Management
Include the following coverages: ❑ CGL; ❑ Auto; ❑ WC; ❑ Professional; ❑ Property; ❑ OR No Insurance Required [J. Hold
Contract pending receipt of Certificate of Insurance E]. With incorporation of Insurance provisions as shown, this contract is approved
by the Risk Manager: I
Risk Manager's Signature: u �"k'' Date: ►L
Financial Services
This Contract is conditioned on appropriation by the Board of Commissioners Yes❑No[/ A budget amendment is necessary
before approval Yes❑No[g.If budget amendment is necessary,please attach to this form. This instrument has been pre-audited in the
manner required by the Local Government BuJdg j and Fiscal Con I Act:
Financial Services Director's Signature: y ''" Date: C ray Z
County Attorney
Approv,' 'iy Board Z (Contracts over $90,000.00 for goods or services, $250,000.00 for construction, or any BOCC consultant
c utra( Approval by Manager ❑ (All other contracts). This contract has been reviewed and approved by the Attorney as to legal
ft sufficiency:
At' /I�Ssignature Date: Aehs / z
County Manager
,s contact has been reviewed and is approved by the County Manager Ye No .
t. or A has been reviewed and is to submitted r B C consideration Yes❑ o❑.
Man -Signature: Date:
Clift to the Board
A,,,coved by BOCC on the_day of 20 . Submitted for Chair signature on the_day of 20
Clerk's Signature: Date:
Revised April 2010