HomeMy WebLinkAboutR 2013-291 Finance - NC Department of Agricultur and Consumer Services $ 79,209 eta- Z°t
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.
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Party/Vendor Name: NC Department of Agriculture an onsumer Servi es Party/Vendor Contact Person: N. David Smith Contact
Phone: 919-96'1_-_4 01 Party/Vendor Address: 16 Mail S City Raleigh State: NC Zip: 27699 Department:
Amount:A19,20 9 Purpose: Protection,Development and Improvement of Forest Land in Orange County Budget Code(s): 10519550-
720011 # (N/A if new vendor) Vendor is a BOCC consultant? Yes❑No® Contract Type: (Check one)New❑
Renewal ® Amendment ❑ Effective Date July 1,2013 Approved by Board Yes®No❑ Agenda Date: June 18,2013 Title of
Contract: Agreement for the Protection,Development and Improvement of Forest Land in Orange County,NC.
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: /y
Department Director's Signature: A Date: $413
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 N /Hold
Contract pending receipt of Certificate of Insurance E]. With incorporation of Insurance provisions as shown, this contract is approved
by the Risk Manager:
Risk Manager's Signature: Date: 7/-U Ld
Financial Services
This Contract is conditioned Oon appropriation by the Board of Commissioners Yes❑No[�/ A budget amendment is necessary
before approval Yes❑NoIf budget amendment is necessary, please attach to this form. This instrument has been pre-audited in the
manner required by the Local Government Bud et nd Fiscal Control A t:
Financial Services Director's Signature: Date:
7 ?iL '
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 been reviewe approved by the Attorney as to legal form and sufficiency:
Attorfty's Signature Zl ---- Date: 3/—/3
County Manager
This contract has been reviewed and is approved by the 0q ttIainager Ye No❑.
This contract has been reviewed and is fo si t e ` (hair epl'No
Manager's Signature: Date:
Clerk to the Board
Approved by BOCC on the_day of Submitted for Chair signature on the day of 20
Clerk's Signature: Date:
Revised March 2012