HomeMy WebLinkAboutR 2010-147 ES - Century Link for Embarq 911 1 �
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: CenturyLink Party/Vendor Contact Person: Lee Canipe_Contact Phone: 828-291-2775 Party/Vendor Address:
320 First Avenue NW City Hickory State:NC Zip:28601 Departmen��O�C mount: $71,236.80 Purpose:E911 Budget Code(s):
35-7551-20-540000 Vendor#32159 (N/A if new vendor) Vendor is a consultant? Yes❑No® Contract Type: (Check one)
New❑ Renewal® Amendment ❑ Effective Date 01/01/2010 Approved by Board Yes No❑ Agenda Date: Title of
Contract:
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 con act has been reviewed and approved by the Department Director as to
technical content:
Department Director's Signature: Date: (r /17h6
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; E910R 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:
Risk Manager's Signature: f�� Date:
I&C t 9//V//o 2",
Financial Services
This Contract is conditioned upon appropriation by the Board of Commissioners Yes❑Now. A budget amendment is necessary
before approval Yes❑NoW. 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 ontrol Act: �j /�/►/
Financial Services Director's Signature: .t✓ . 44t� Date: ` r*l o
County Attorney
Approval by Board ❑ (Contracts over $90,000.00 for goods or services, $250,000.00 for construction, or any BOCC consultant
contract). Approval by Manager (All pther contracts). This contract has been reviewed and approved by the Attorney as to legal
form and sufficiency:
Attorney's Signature Date: 1-7 Z-olo
County Manager
This contract has been reviewed and is approved by the County Manager Ye No❑.
This contract has been reviewed and is to be submitted for BOCq nsiderahon Yes❑NoEr_____,
Manager's Signature: 1&4 Date: E3
Clerl 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 April 2010