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0C) I �2 — C--)(Oct <br />ORANGE COUNTY - CONTRACT CONTROL SHEET{ C� <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 />Department <br />Party/Vendor Name: Ferrell Firm Party/Vendor Contact Person: Brian Ferrell Contact Phone: 919 883 4960 Party /Vendor Address: <br />P.O. Box 16564 City Chapel Hill State: NC Zip: 27514 Department: Finance Amount: 17,500 Purpose: Legal Services Budget <br />Code(s): Vendor # (N /A if new vendor) Vendor is a BOCC consultant? Yes ❑ No® Contract Type: (Check one) New <br />❑ Renewal ❑ Amendment ❑ Effective Date Approved by Board Yes❑ No❑ Agenda Date: Title of Contract: <br />If this is a Grant Agreement, pre - application has been approved by the Board of Commissioners Yes❑ N96. If submitted for bid were <br />bids/RFPs received Yes❑ No] Bid/RFP number This contract has been reviewed and approved by the Department Director as to <br />technical content: <br />Department Director's Signature: Yom— '^a 'A /4�, Date: 31 1 S 1 t 2 <br />IT Director <br />(Applicable only to hardware /software purchases or related services) This contract has been reviewed and approved by the Information <br />Technology Director as to technical content and information technology specifications: <br />IT Director's Signature: <br />Risk Management <br />Date: <br />Include the following coverages: ❑ CGL; ❑ Auto; ❑ WC; ❑Y _Professional; ❑ Property; OR No Insurance Required ❑. 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: 4ail Date: <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. T is instrument has been pre - audited in the <br />oca <br />manner required by the L If <br />Budget and Fiscal Control Act: <br />Financial Services Director's Signature: a"", Date: <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 ® (Most other contracts $1,000 and above). Department Director approval only ❑ (Under <br />$1,000). This contract has been reviewed and approved by the Attorney as to legal form and sufficiency: <br />Attorney's Signature Date: 3i I q <br />County Manager <br />This contract has been reviewed and is approved by the County Manager YesE7 No ❑. <br />This contract has been reviewed and is for sigagWe by the Chair, Yes❑No� <br />Manager's Signature: <br />Approved by BOCC on the _ day of , <br />Clerk's Signature: <br />Revised March 2012 <br />Date: 3, <br />Ira <br />for Chair signature on the day , 20 <br />Date: (/1/ <br />