HomeMy WebLinkAboutR 2013-467 EMS - Emergency Management Performance Grant $70,000 oc�l-_:;� - -h-n
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: Emergency Management Performance Grant Party/Vendor Contact Person: James Groves Contact Phone: 919-
245-6100 Party/Vendor Address: 1636 Gold Star Drive City Raleigh State:NC Zip:27607 Department: Orange County Emergency
Services Amount: 70,000.00 Purpose:Annual DPS Grant 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 Approved
by Board Yes®Nor-1 Agenda Date: Title of Contract:Emergency Management Performance Grant
If this is a Grant Agreement,pre-application has been appro ed by the Board of Commissioners Yes®No❑. If submitted for bid were
bids/RFPs received Yes❑No® Bid/RFP n ber is contract has been reviewed and approved by the Department Director as to
technical content:
Department Director's Signature �` Date: (A-)
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 ❑. With incorporation of Insurance provisions as shown,this contract is approved
by the Risk Manager: Lwat.4
Risk Manager's Signature: Date:
k31�1
Financial Services
This Contract is conditioned/pon appropriation by the Board of Commissioners Yes❑No A budget amendment is necessary
before approval YesE]NoLV
J. 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 ct:
Financial Services Director's Signature: w i Date: 1 3
County Attorney
Approval by Board ❑ (Contracts $90,00020 or more for goods or services, $250,000.00 or more for construction, or any BOCC
consultant contract). Approval b Manager (Most other contracts$1,000 and above). Department Director approval only❑ (Under
$1,000). This contract has been e ' wed p ved by the Attorney as to legal form and sufficiency:
Attorney's Signature Date: I I /its]ts
County Manager
This contract has been reviewed and' appr a the County Manager Yes No❑.
This contract has been reviewed is for 'gn to e air No[-].
v
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: A(
Revised March 2012