HomeMy WebLinkAboutR 2015-610 ES - NC Statewide Emergency Management Mutual Aid and Assistance Agreement Q 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.
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Department
Party/Vendor Name: State of North Carolina-DPS/Emergency Management Party/Vendor Contact Person: Steve Powers Contact
Phone: 919-724-7321 Party/Vendor Address:401 Central Avenue City Butner State:NC Zip:27509 Department:Emergency Services
Amount:N/A Purpose:North Carolina Statewide Mutual Emergency Management Mutual Aid and Assistance Aereeement Budget
Code(s):N/A Vendor#N/A (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❑No[] Agenda Date: Title of Contract:
NCEM Statewide Mutual Aid and Assistance 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❑Nor-1 Bid/RFP number This contract has been reviewed and approved by the Department Director as to
technical content:
Department Director's Signature: Date: (? /S
IT Director
(Applicable only to hardware/software purchases or related services)This contract has been reviewed ar d approved hX the Informyt4 n
Technology Director as to technical content and information technology specifications: lJ � 0 T
IT Director's Signature: Date: DEC U 3 2015
Risk Management
Include the following coverages: ❑ CGL; ❑ Auto; ❑ WC; ❑ Professional; ❑ Property; OR N old
Contract pending receipt of Certificate of Insurance ❑. With incorporation of Insurance provisions as shown,this contract is approved
by the Risk Manager:
Risk Manager's Signature:- p� Date:
Financial Services
This Contract is conditioned upon appropriation by the Board of Commissioners Yes❑No❑. A budget amendment is necessary
before approval Yes[:] No❑. If budget amend t is necpss ,p ease attach to this form. This instrument has been pre-audited in the
manner required by the Local Government Budg nd s C 1 Act:
Financial Services Director's Signature: Date: Z
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 reviewed and a r ed by the Attorney as to legal form and sufficiency:
Attorney's Signature Date:
County Manager
This contract has been reviewed and is approved by the County Manager YesL No❑.
This contract has been reviewed and is f signature by the Chair Yes❑No❑.
Manager's Signature: Date:
Clerk to the Board
Approved by BOCC on the_day of 120 Submitted for Chair signature on the_day of ,20
Clerk's Signature: Date:
Revised March 2012