HomeMy WebLinkAboutR 2014-193 Health - Time Warner Cable to air the OCHD Smoke Free Public Places commercial 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: Time Warner Cable Party/Vendor Contact Person: Greg,Florian Contact Phone: Party/Vendor Address:
101 Innovation Ave, Suite 200 City Morrisville State:NC Zip:27560 Department: Health Amount: $8,08 1.00 Purpose:The provider
agrees to air the OCHD Smoke Free Public Places Commercial Budget Code(s): 10412020-680076 Vendor#30615 (N/A if new
vendor) Vendor is a BOCC consultant? Yes❑No® Contract Type: (Check one)New® Renewal ❑ Amendment ❑ Effective
Date April 28,2014 Approved by Board Yes❑No[] Agenda Date: April 7,2014-June 15,2014 Title of Contract: TWC SFPP
Commercial
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:
c
Department Director's Signature: Date: P-��-
IT Dire
(Applicable only to hardware/software purc ases ed ces)This contract has been reviewed and approved by the Information
Technology Director as to technical content and i ation tec ecifications:
IT Director's Signature: Date:
Risk Management
Include the following coverages: ❑ CGL; ❑ Auto; ❑ WC; ❑ Professional; ❑ Property; OR No Insurance Required El. Hold
Contract pending receipt of Certificate of Insurance ❑. With incorporation of Insurance provisions as shown
by the Risk Manager: D [
Risk Manager's Signature: r__0 r APR 2 1 2014
Financial Services �►�.
This Contract is conditioned on appropriation by the Board of Commissioners Yes❑No[ / A budg
before approval Yes❑No[q.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: I
Financial Services Director's Signature: � w A A, Date: �2
County Attorney
Approval by Board [I (Contracts $90,00 0 or more for goods or services, $250,000.00 or more for construction, or any BOCC
consultant contract). Appro by Man ger� (Most other contracts$1,000 and above). Department Director approval only❑ (Under
$1,000). This contract has e r view approved by the Attorney as to legal form and sufficiency
Attorney's Signature I Date:
County Manager
This contract has been reviewed and is a pr v by the County Manager Yes No❑.
This contract has been reviewed a or i n e by t Ch ' 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 March 2012