HomeMy WebLinkAboutR 2010-037 Aging - NC DOT grant 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: NCDOT-Public Transportation Division. Party/Vendor Contact Person: Myra King. Contact Phone: 919-733-
4713. Party/Vendor Address: 1550 Mail Service Center. City Raleigh. State: NC Zip: 27699-1550 Department: Aging-OPT Amount:
$395,025 Purpose: Administrative and Capital Budget Code(s): 104350 Vendor# 14415 (N/A if new vendor) Vendor is a BOCC
consultant? Yes ❑No® Contract Type: (Check one)New❑ Renewal® Amendment ❑ Effective Date 07/01/2010.
If this is a Grant Agreement,pre-application has been approved by the Board of Commissioners Yes X No . If submitted forbid
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: 31e:2 q ho
IT Director
(Applicable only to hardvvare/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 El. Hold
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: 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 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: Date:
County Attorney
Approval by Board t4 (Co tracts over $25,000.00 or any BOCC consultant contract). Approval by Manager ❑ (All contracts
$25,000.00 or less with the xception of BOCC consultants). This contract has been reviewed and approved by the Attorney as to legal
form and sufficiency:
Attorney's Signature Date: q 24?I
County Manager
This contract has been reviewed and is approved by the County Manager Yes[:]No❑.
This contract has been reviewed and is to be submitted for BOCC consideration Yes❑No❑.
Manager's Signature: Date:
Clerk to the Board
Approved by Board Yes❑No❑ Agenda Date
Clerk's Signature: JA J�-D
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