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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 /> Party/Vendor Name: Health System Properties,LLC PartyNendor Contact Person: William L.Roper Contact Phone: (919)966-0692 <br /> PartyNendor Address: 101 Manning Drive,4th Floor, Wing E City Chapel Hill State:NC Zip: 27514 Department: County Attorney <br /> Amount: $143,651.17 Purpose: Eastowne Parcel Tract 1 Budget Code(s): Vendor# (N/A if new vendor) Vendor is a <br /> BOCC consultant? Yes❑No Contract Type: (Check one)New /1 Renewal❑ Amendment ❑ Effective Date January 6,2012 <br /> 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❑No❑. 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 /> I, <br /> Department Director's Signature: Date: 37c7/-14.\--... <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: /1(x} Date: <br /> Risk Management <br /> Include the following coverages: ❑ CGL; ❑ Auto; ❑ WC; ❑ Professional; ❑ Property; OR No Insurance Required ❑. Hold <br /> Contract pending receipt of Certificate of Insurance D. With incorporation of Insurance provisions as shown,this contract is approved <br /> by the Risk Manager: <br /> Risk Manager's Signature: n 14q Date: <br /> Financial Services <br /> This Contract is conditio 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. This instrument has been pre-audited in the <br /> manner required by the Local Government Bud t and Fiscal Co trol Act: <br /> Financial Services Director's Signature: ` Date: <br /> County Attorney <br /> Approval by Board ❑ (Contracts $90,000.00 o; more for goods or services, $250,000.00 or more for construction, or any BOCC <br /> consultant contract). Approval by Manager 2(Most other contracts$1,000 and above). Department Director approval only❑ (Under <br /> $1,000). This contract has bee?eviewed and approved by the Attorney as to legal form and sufficiency: <br /> / <br /> (0,4 Attorney's Signature � ` Date: a . `Q1/R- <br /> County Manager <br /> This contract has been reviewed and is approved by the County Manager Y No❑. <br /> This contract has been reviewed and is for signs re byte hair Yes0No0. <br /> 1 i'L(__, <br /> Manager's Signature: Date: 1`- <br /> Jerk to the Board <br /> Approved by BOCC on the day of ,20 _ i bmi r ed for Chair signature on the day of ,20 . <br /> IClerk's Signature: / Date:42424 <br /> ttitww j A otei-vul 04tpie"..5 <br /> Revised March 2012 <br />