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-- — � <br /> ' <br /> �.01J,-073- ;^):;, _c/«-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 /> Department <br /> PurtyNcndor Name: Party/Vendor Contact Person: Clay Brinkley Contact Phone: (919)933 0247 <br /> Party/Vendor Address: PU Box 5\5\ City Chapel Hill State:NC Zip: 27514 Department: Child Spp Amount: $52,000 Purpose: <br /> CJE Scanning Project Code(s): Vendor# if new vendor) Vendor is a BOCC consultant? <br /> Contract Type: (Check one)New Renewal D Amendment El Effective Date 04/02/2U|2 Approved by Board YceZNo0 <br /> Agenda Date: Title of Contract: <br /> If this is a Grant Agreement, pre-application has been approved by the Board of Commissioners Yco0NoZ. If submitted for bid were <br /> bids/RFPu received You[]}Jo[l Bid/RFP number This contract has been reviewed and approved by the Department Director as to <br /> technical content: <br /> Department Director's Signature: ' ' Date: -5 i 7-4/ 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 /> - <br /> IT Director's Signature: zl=am� ---- Date: �� 12 K ft 2_- <br /> Risk Management <br /> Include the following coverages: 2'CGL; R4uto; alA/C; 0 Professional; Fl Property; OR No Insurance Required 0. Hold <br /> Contract pending receipt of Certificate of Insurance Z. With incorporation of Insurance provisions as shown, this contract is approved <br /> by the Risk Manager: <br /> Risk Manager's Signatu Dmc: �� ' ����' y7~~ <br /> a�c �� 3/zv�z/�� ��e '�l� <br /> Financial Services <br /> This Contract is conditi uppropda1ionhy the Board ofConmioaioncm leoEIN A budget amendment is necessary <br /> uppzuvu| Yno0 . If budget amendment is necessary, please ouucbtothis form. ƒh� ino�umcnt has been pre-audited in the <br /> manner required hy the Locu[Government Budget <br /> nd Fiscal Control Act: <br /> � �� <br /> / �f y3~ <br /> Financial Services]0iceotor`oSignature: ' , ~ Date: �� / `� ' <br /> ^ <br /> ^ConntyAoorvey <br /> Approval by Board Ej (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 4 (All other contracts). This contract has been reviewed and approved by the Attorney as <br /> to legal form and sufficiency: <br /> /1 <br /> Atu�roey^o8iAuutunr '/-� ^ * Date: /�� ' <br /> r County Manager <br /> This contrac has been reviewed and is approved by the County M y L]. <br /> This contract has been reviewed and is for signature by the Chu. YoxZNoLl~~'^- <br /> 'i 1 / /�MumuAer,vSiQuotuce: Date: 4-(6- / <br /> 2~- <br /> ��NN� <br /> . <br /> "C)' t. /b Board <br /> / <br /> �\pprovodhy8(}CConthe day of .20 f '� � Chair oigo/nurcoothe/ day of .20 . <br /> _ uf <br /> Clerk's Signature: '/ ^ �/~- Date: �' /''- 6 <br /> Revised November 2011 <br />