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C <br /> ,p,i 2 , o 5 ORANGE COUNTY—CONTRACT CONTROL SHEET y <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 Ye. <br /> PartyNendor Name: SafeSkills PartyNendor Contact Person: Beth Siegler/Kathy Hopwood Contact Phone:919-383-7233 v"V�72 ��NK• <br /> PartyNendor Address:P. O. Box 6164 City Durham State:NC Zip:27715 Department: }}f{ Amount: $1,690.00 Purpose:Training- <br /> Budget Code(s): 10295020/720016 Vendor# (N/A if new vendor) Vendor is a BOCC consultant? Yes❑No ContraiT- <br /> Type: (Check one)New® Renewal❑ Amendment ❑ Effective Date 03/20/2012 Approved by Board Yes❑No P/ Agenda <br /> 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 ontent: l / ) <br /> lgw•ti wo toy : I • <br /> o <br /> Department Director's Signature: . 1 Date: 3 ^arrael f <br /> z <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: Date: <br /> Risk Management <br /> Include the following coverages: ❑ CGL; ❑ Auto; ❑ WC; ❑ Professional; ❑ Property; [IOR 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: �ain11-- Date: 3 Z7 l 7� <br /> C 's ,9 03/ <br /> / :2 c.e.p4 EA- Financial Services, <br /> This Contract is conditioned pon appropriation by the Board of Commissioners Yes❑No[og 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 Budget and Fiscal Control Act: I <br /> Financial Services Director's Signature: �0"-v— .„4,•,...._____ Date: J Zi. l 7 <br /> County Attorney <br /> Approval by Board ❑ (Contracts over $90,000.00 for goods or services, $250,000.00 for construction, or any BOCC consultant <br /> contract). Approval by Manage I' (Allrgther contracts). This contract has been reviewed and approved by the Attorney as to legal <br /> form and sufficiency: / n <br /> liAttorney's Signature vr ;k Date: Z <br /> County Manager <br /> This contract has been reviewed and is approved by the Coun Manager YestfrNo❑. <br /> This contract has been reviewed and is to be ,i�% �' , for :'AC -snsideration Yes❑NeO� <br /> Manager's Signature: / / Date: 3 -c - / C� <br /> g g <br /> `..Clerk to the Boat <br /> Approved by BOCC on the day of ,20 mitted,for Chair signature on the day of ,20 . <br /> Clerk's Signature: .__� Date: ! <br /> Revised April 2010 <br />