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ORANGE COUNTY—CONTRACT CONTROL SHEET ,c '" 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 /> PartyNendor Name: Ferrell Firm Party/Vendor Contact Person: Brian Ferrell Contact Phone: 919 883 4960 PartyNendor Address: <br /> P.O.Box 16564 City Chapel Hill State:NC Zip:27516 Department:DEAPR Amount: 3,250 Purpose: Title Work Budget Code(s): <br /> Vendor# (N/A if new vendor) Vendor is a BOCC consultant? Yes❑Non 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❑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 /> / <br /> Department Director's Signature. `f' �G ve ✓ 'C' Date: 3/cP•)//..),, <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; 0-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: j ��� <br /> Risk Mana er's Signature:' /fl Date: 3. 30 O . 1z. <br /> lcc `Cea3%9//: - a O'Li " <br /> Financial Services <br /> This Contract is condition d pon 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. his instrument has been pre-audited in the <br /> manner required by the Loa Government Bud nd Fiscal Control A : <br /> Financial Services Director's Signature: Date:__0(j_L <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 an. approved by the Attorney as to legal form and sufficiency: <br /> Attorney's Signatur••4 n04a� Date:`l`- C - °cjk 3-- <br /> County Manager <br /> This contract has been reviewed and is approved by the County Manager Yy No❑. <br /> This contract has been reviewed and is for signature by se C .it Yes0No,27-- <br /> i/ 0 Manager's Signature: ' / Date: <br /> ,-7 ./ <br /> AI <br /> lerk to the Board <br /> Approved by BOCC on the_day of ,20 . Submitted for C it ignature on the ` ay of ,20 . <br /> Clerk's Signature: • <br /> Revised March 2012 <br />