HomeMy WebLinkAboutR 2014-134 HR - C A Short Company for Service Awards Certificates and Service Letters 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: C.A. Short Company Party/Vendor Contact Person: Jeff Ross Contact Phone: 704-482-9591 Party/Vendor
Address:Post Office Drawer 310 City Shelby State:NC Zip: 28151-0310 Department: Amount: $2,640.50 Purpose: Service
Awards Certificates and Service Letters Budget Code(s): 10250020/684000 Vendor#57758 (N/A if new vendor) Vendor is a BOCC
consultant? Yes❑No® Contract Type: (Check one)New® Renewal❑ Amendment ❑ Effective Date 3/7/2014 Approved by
Board Yes❑No® Agenda Date: Title of Contract: Service Awards Certificates and Service Letters
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: t/
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 ❑. With incorporation of Insurance provisions as sh conl tract is approve
by the Risk Manager:
Risk Manager's Signature: ,_ Date: n FEB - 4 2013
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Financial Services
This Contract is conditioned on appropriation by the Board of Commissioners Yes❑No� A b amendment is necess
before approval Yes❑No[y.If budget amendment is necessary,please attach to this form. This instrument has 'e'en'pre-audited
manner required by the Local Government Budget and Fiscal Control Act:
Financial Services Director's Signature: ua-' A Date: Z (,g/l
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 rev' d and approved by the Attorney as to legal form and sufficiency:
Attorney's Signature Date:
County Manager
This contract has been reviewed and is ap ov by the County Manager Yes No❑.
This contract has been reviewed i si e by Ch ' Yes No❑.
Manager's Signature: d 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