HomeMy WebLinkAboutR 2013-358 Tax - Point & Pay LLC to provide electronic payment service over the counter credit card payment 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: Point&Pay,LLC Party/Vendor Contact Person: Patty Melton Contact Phone: 916-467-7283 Party/Vendor
Address: 110 State St East, Suite D City Oldmar State:NC Zip: 34677 Department: Tax Administration Amount: 0.00 Purpose:To
provide electronic payment service over the counter credit card payments in the office. There will be no additonal cost or reduced revenue
to the County. The payer incurs the cost for the transaction. Budget Code(s): 10335020-630000 Vendor#N/A (N/A if new vendor)
Vendor is a BOCC consultant? Yes❑No[] Contract Type: (Check one)New® Renewal ❑ Amendment ❑ Effective Date
October 15,2013 Approved by Board Yes❑No❑ Agenda Date: Title of Contract: POINT& PAY, LLC E-PAYMENT
SERVICES AGREEMENT
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:
Department Director's SignaLu e - Date: ? (3
IT Director
(Applicable only to hardware/sof rep c es or related services)This contract has been reviewed and approved by the Information
Technology Director as to technica and 'nformation technology specifications:
IT Director's Signature: ��l`� l' �• /� v Date: J
Risk Management (' {' ee c CC)
Include the following coverages: dCGL; Auto; El WC; P4of�esssional; ❑ roperty; ❑ OR No Insurance Required ❑. Hold
Contract:pending receipt of Certificate of In urance ❑. With incorporation of Insurance prQ visippns as shown, this contract is approved
by the Risk Manager: j.L'M 71'2 31►3 V4 40-ILA—
Risk Manager's Signature: Date: 2 13
8lU L v3
Financial Services
This Contract is conditioned pon appropriation by the Board of Commissioners Yes❑No A budget amendment is necessary
before approval Yes❑No[V 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 Sery fes Director's Signature: V�G 96• A'.°^ Date: 2�t
County Attorney
Approval by Board ❑ (Contracts ver $90,000.00 for goods or services, $250,000.00 for construction, or any BOCC consultant
contract). Approval by Manag r (A other contracts). This contract has been reviewed and approved by the Attorney as to legal
form and sufficiency:
Attorney's Signature Date: 0 GL
County Manager
This contract has been reviewed and is a rov by the County anager Yes No❑.
This contract has been reviewed ►s t s mitt r B co s er ion Yes❑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 April 2010