HomeMy WebLinkAboutR 2013-118 Library - BRODART for programming $5070 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.
De rtmen
Party/Vendor Name: BRODART Party/Vendor Contact Perso o ct Phone: Party/Vendor Address: City
State: Zip: Department: Librga Amo t: 5070 ose:Programming Budget Code(s): 10500020-750000
Vendor#41042 (N/A if new vendor) Vendor is a BOC consu Yes E]No® Contract Type:(Check one)New® Renewal
El Amendment ❑ Effective Date Approved by oard es❑No® Agenda Date: Title of Contract:
If this is a Grant Agreement,pre-application has been ap by the Board of Commissioners Yes❑No®. If submitted for bid were
bidslRFPs received Yes❑No® BidIRFP nu r This act has been reviewed and approved by the Department Director as to
technical content:
Department Director's Signature: Date: y-/3
irector
(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 Mana¢ement
Include the following coverages: ❑ CGL; ❑ Auto; ❑ WC; ❑ Professional; ❑ Property; OR No Insurance Required E. Hold
Contract pending receipt of Certificate of Insurance M. With incorporation of Insurance provisions as shown,this contract is approved
by the Risk Manager: At", u Risk Manager's Signature: , 41� Date: i 1-1'13
� . -41
Financial Services
This Contract is conditioned upon appropriation by the Board of Commissioners Yes❑No®. A budget amendment is necessary
before approval YesQ 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: NA14-'-t � P A—- Date: 7�/
413
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 by Manager®(Most other contracts$1,000 and above). Department Director approval only❑(Under
$1,000). This contract has be revie d d approved by the Attorney as to legal form and suffici cy:
Attorney's Signature Date:
County Manager
This contract has been reviewed and is approved by the C u ty Manager Yeeo❑.
This contract has been reviewed and i o ig e a Yes❑N �'
/
Manager's Signature: Date: f f
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