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o oia_fAg <br /> ORANGE COUNTY—CONTRACT CONTROL SHEET <br /> Routing Order: (1)Department,(2)IT,(3)Risk Management,(4)Financial Services,(5)Attorney,(6)Manager,(7)Clerk <br /> This Document shall accompany all contracts and shall be submitted for signature in the Routing Order specified above. If the Manager <br /> determines the contract is not appropriate for Manager approval the Manager shall submit the contract for BOCC approval. Contracts for <br /> BOCC approval must be submitted through,and complete,the routing process prior to agenda review. Contracts for legal review should <br /> be completed through the legal review process prior to being routed for signature. <br /> G'P`s , 1 Z Department <br /> Party/Vendor Name: Cappp's Apizzo LLC PartyNendor Contact Person: John Cappelletti Contact Phone:919-669-8582 PartyNendor <br /> Address:274 Gladstone Trail City Pittsboro State:NC Zip:27312 Department:Economic Development Amount:N/A Purpose:User <br /> services Budget Code(s):N/A Vendor# (N/A if new vendor) Vendor is a BOCC consultant? Yes ❑No Contract Type: <br /> (Check one)New® Renewal❑ Amendment ❑ Effective Date 05/15/12 Approved by Board Yes❑No Agenda Date: <br /> Title of Contract:Piedmont Food&Agricultural Processing Center User Services Contract <br /> If this is a Grant Agreement,pre-application has been approved by the Board of Commissioners Yes❑Non. If submitted for bid were <br /> bids/RFPs received Yes❑Non Bid/RFP number This contract has been reviewed and approved by the Department Director as to <br /> technical content: <br /> Department Director's Signature: _■ ll Ll �I , ,`', . Date: s 2-9-1 Z <br /> IT Director <br /> (Applicable only to hardware/software purchases or related services)This con .ct has been reviewed and approved by the Information <br /> Technology Director as to technical content and information technology specifications: <br /> IT Director's Signature: Date: <br /> I fa <br /> 4- Risk Management <br /> Include the following coverages: CGL; ❑ Auto; ❑ WC; ❑ Professional; ❑ Property; OR No Insurance Required D. Hold <br /> Contract pending receipt of Certificate of Insurance ❑. With incorporation of Insurance provisions as shown,this contract is approved <br /> by the Risk Manager: <br /> Risk Manager's Signature:'4 ante—_' Date: 5 Z$' /Z <br /> Rec c�s-1a,1110i-L. 3 oii; 're <br /> Financial Services <br /> This Contract is condition d upon appropriation by the Board of Commissioners Yes❑No A budget amendment is necessary <br /> before approval Yes❑No . If budget amendment is necessary,please attach to this form. Th s instrument has been pre-audited in the <br /> manner required by the Local Government Budget and Fiscal Control Act: <br /> Financial Services Director's Signature: 01. +4.,t✓ • .11M4., Date: 5124112. <br /> County Attorney <br /> Approval by Board ❑ (Contracts $90,000.00 or more for goods or services, $250,000.00 or more for construction, or any BOCC <br /> consultant contract). Approval by Manager) 1Most other contracts$1,000 and above). Department Director approval only❑ (Under <br /> $1,000). This contract has been re iewed and approved by the Attorney as to legal form and sufficiency: <br /> 0//, <br /> Attorney's Si nature Date: /� <br /> C pt <br /> -6'7 ci/c funty Manager <br /> This contract has been reviewed and is approved by the County Manager Yes.'1�o❑. <br /> This contract has been reviewed and is for si•• :::,e by the Chair Yes❑NoEr-- <br /> Manager's Signature: `� Date: ,A0 r <br /> Clerk to the Board <br /> Approved by BOCC on the day of ,20 . Submitted for Chair signature on the day of ,20 . <br /> Clerk's Signature: Date: <br /> Revised March 2012 <br />