HomeMy WebLinkAboutR 2018-741 Human Rights Relations - Fairway Outdoor Funding billboard advertising ��%c r �.• 7511
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: Fairway Outdoor Funding Party/Vendor Contact Person: Tim Craven Contact Phone: 919-755-1900
Party/Vendor Address: 8520 CIiff Cameron Dr.Suite 460 City Charlotte State:NC Zip:28269 Department:Human Rights&Relations
Amount: $850.00 Purpose:Provider will display HR&R billboard ad for one month Budget Code(s):30460020-790009-71300 Vendor
#62083 (NIA if new vendor) Vendor is a BOCC consultant? Yes❑No® Contract Type:(Check one)New® Renewal❑
Amendment ❑ Effective Date December 3,2018 Approved by Board Yes[]No❑ Agenda Date: December 3,2018-December
30,2018 Title of Contract: OCHR&R Billboard Ad
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❑ BidIRFP number This contract has been reviewed and approved by the Department Director as to
technical content:
Department Director's Signature: Date: 1 t I
IT Director
(,Ipplicable only to hardwarelsaftware 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 Mana ement
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 shown,this contract is approved
by the Risk Manager:
Risk Manager's Signature: �C` t; ._ Date: l
Fi ancial Services
This Contract is conditioned upon appropriation the. 'o of Co ar mmissioners Yes❑No❑. A budget amendment is necessary
before approval Yes❑No❑. If budget amend t i c sary,please attach to this form. This instrument has been pre-audited in the
manner required by the local Government Bud t s Control Act:
Financial Services Director's Signature; Date: l
County Attorne
Approval by Board ❑ (Contracts $90,000,00 or more for goods or services, $250,000.00 or more for construction, or an-y�OCC
consultant contract). Approval by Manager❑(Most other contracts$1,000 and above). Department Director approval only Q(Under
* ,000). This contract has been reviewed and approved by the Attorney as to legal form and sufficiency:
Attorney's Signature ccz& Date: I I I IIrG
County Manager
This contract has been reviewed and is approved by the County Manager Yes❑No❑.
This contract has been reviewed and is for signature by the Chair Yes❑N❑❑.
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