HomeMy WebLinkAboutR 2013-422 IT - David Mathias for Help Desk Support $5,000 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: David Mathias Party/Vendor Contact Person: David Mathias Contact Phone:919-923-7500 Party/Vendor
Address:238 Patriots Pointe Dr City Hillsborough State:NC Zip:27278 Department:IT Amount:$5,000 Purpose:Help Desk
Sup oo Budget Code(s): 10315020/630000 Vendor#60921 (N/A if new vendor) Vendor is a BOCC consultant? Yes❑No®
Contract Type:(Check one)New❑ Renewal® Amendment ❑ Effective Date 9/23/13 Approved by Board Yes❑No❑
Agenda Date: Title of Contract:
If this is a Grant Agreement,pre-application has been ap ved by the Board of Commissioners Yes❑No❑. If submitted for bid were
bids/RFPs received Yes❑No❑ Bid/RFP n r contract has been reviewed and approved by the Department Director as to
technical content:
Department Director's Signature: Date: 6
IT Director
(Applicable only to hardware/software purchase4rela rvices)This contract has been reviewed and ap roved by the Information
Technology Director as to technical content and chnology specifications: I
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: r-Pik.k 6 F C.a._-4- (. .
Risk Manager's Signature: Date:
-11 Z-7
Financial Services
This Contract is conditioned
qypon appropriation by the Board of Commissioners Yes❑NoE]/ A budget amendment is necessary
before approval Yes❑No[M. 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: 1/ Date: l 3� l3
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 reviewed and,Mpg ''y the Attorney as to legal form and sufficiency:
Attorney's Signature — f � Date: 0,
County Manager
This contract has been reviewed and' pproved by the County Manager Yes[ No❑.
This contract has been reviewe for i a air s❑No❑.
Manager's Signature: Date:
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