HomeMy WebLinkAboutR 2013-041 EMS - Federal Engineering Inc for Needs Assessment - $49,830 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: Federal Engineering,Inc. Party/Vendor Contact Person: Larry_Keller Contact Phone:703-359-8200 Party/Vendor
Address: 10600 Arrowhead Drive City Fairfax State:CA Zip:22030 Department:Emergency Services Amount: $49,830 Purpose:
needs assessment Budget Code(s): Vendor#na (NIA 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:
If this is a Grant Agreement,pre-application has been approved by the Board of Commissioners Yes[]No[], If submitted for bid were
bidslRFPs received Ys®No❑ Bid/RFP number 5188This contract has been reviewed and approved by the Department Director as to
technical content:
Department Director's Signature: Date:
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 [Hold
Contract pending receipt of Certificate of Insurance ❑. With incorporation of Insurance provisions as shown,this contract is approved
by the Risk Manager:
Risk Mana er's Signature: -' / 'r i" w— Date: `
Financial Services
This Contract is conditioned on appropriation by the Board of Commissioners Yes❑NoQ/ 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 Local Government Budget and Fiscal Control Act:
Financial Services Director's Signature: Date: Z
� q . 3
County Attorney
Approval by Board ❑ (Contracts $90,000 00 or more for goods or services, $250,000.00 or more for construction, or any BOCC
consultant contract). Approval b Manager (Most other contracts$1,000 and above). Department Director approval only❑ (Under
$1,000). This contract has be re iew approved by the Attorney as to legal form and sufficiency
Attorney's Signature Date: Z 3
County Manager
This contract has been reviewed and is approved by the Cou Manager Ye ❑
This contract has been reviewed and is for signa by th s❑No
Managers Signature: Date: 111
ark 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