HomeMy WebLinkAboutR 2013-156 EMS - Century Link for Public Safety Regulated Services $6.636.00 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: CenWULink Party/Vendor Contact Person: Jenn Burwell Contact Phone:252-212-3672 Party/Vendor Address:
143 N Washington St,4h Floor City Rocky Mount State:NC Zip:27801 Department:Emergency Services Amount: $6,636.00/mo.
Purpose:9-1-1 Service Budget Code(s):35755124540000 Vendor#32159 (N/A if new vendor) Vendor is a BOCC consultant? Yes
❑No® Contract Type: (Check one)New❑ Renewal® Amendment ❑ Effective Date 1-1-2012 Approved by Board Yes❑No
❑ Agenda Date: Title of Contract:Public Safety Regulated Services
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 ontract 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 Mannement
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 Manager's Si nature: -� Date: z2�
Financial Services
This Contract is conditioned a on appropriation by the Board of Commissioners Yes❑NoQ� A budget amendment is necessary
before approval Yes❑No[9If 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 Ac
Financial Services Director's Signature: 4,=� /j" — , Date: 7.L
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). Approva by Ma na er Qq'(Most other contracts$1,000 and above). Department Director approval only ❑ (Under
$1,000). This contract has b vie d approved by the Attorney as to legal form and sufficiency:
Attorney's Signature Date:
County Manager
This contract has been reviewed and is approved by the County Manager Y No
This contract has been reviewed and is r 'gnature the C air Yes❑No
Manager's Signature: Date: —z—
LClerk 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