HomeMy WebLinkAboutR 2013-476 BOCC- Springsted Inc to Conduct Manages Search $24,500 4e
ORANGE COUNTY—CONTRACT CONTROL SHEET
g ri Or er: 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: Springsted Inc Party/Vendor Contact Person: John Ansivino Contact Phone:PH:804.726.9750 Party/Vendor
Address: 1564 East Parham Road Richmond,VA 23228 City State: Zip: Department: BOCC Amount:24,500
Purpose: Budget Code(s): Vendor# (N/A if new vendor) Vendor is a BOCC consultant? Yes ®No[:] Contract
Type: (Check one)New® Renewal ❑ Amendment ❑ Effective Date 11/5/2013 Approved by Board Yes®No❑ Agenda
Date: 11/5/2013 Title of Contract:
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 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 Management
Include the following coverages: ❑ CGL; ❑ Auto; ❑ WC; ❑ Professional; ❑ Property; OR No Insurance Required ❑. Hold
Contract pending receipt of Certificate of Insurance El. With incorporation of Insurance provisions as shown,this contract is approved
by the Risk Manager: //��
Risk Manager's Signature: oli Date: )
Financial Services
This Contract is conditioned ypon appropriation by the Board of Commissioners Yes❑Noy A budget amendment is necessary
before approval Yes❑No ff 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: 1d'"""° Date: 111 510
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:77 ewed an app ved by the Attorney as to legal form and sufficiency:
Attorney's Signature Date:
County Manager
This contract has been reviewed and ' app e y the o my ag Yesl!j No❑.
This contract has been reviewe is for g t re b h Ch es o❑.
Manager's Signature: Date:
Clerk to the Board
Approved by BOCC on the day of 20 . Submitted for Chair signature on the day of 120
Clerk's Signature: Date:
Revised March 2012