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a0/a /67 <br /> 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: Darroll Andrew Brown Party/Vendor Contact Person: same Contact Phone:919 740-2693 Party/Vendor Address: <br /> 113 Tuscarora Dr. City Hillsborough State:NC Zip:27278 Department:DEAPR Amount:$409.50 Purpose:Fairview Tennis Budget <br /> Code(s):Woryendor# (N/A if new vendor) Vendor is a BOCC consultant? Yes❑No® Contract Type:(Check one)New <br /> ® Renei61 11111 Amendment ❑ Effective Date July 1,2012 Approved by Board Yes❑No❑ Agenda Date: Title of <br /> 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 /> tgclinical content: <br /> A CI) <br /> Department Director's Signature: �/ " '� Date: Col 2.l Ji 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 /> Director's Signature: Date: <br /> Risk Management <br /> include the following coverages: ❑ CGL; ❑ Auto; ❑ WC; ❑ Professional; ❑ Property; OR No insurance Required E " Hold <br /> Contract pending receipt of Certificate of Insurance 0. With incorporation of Insurance provisions as shown,this contract is approved <br /> by the Risk Manager: <br /> Risk Manager's Signature:�bJI ' t Date: (. <br /> 'L ' v <br /> /ea' td- W02-/f-2al� <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, his instrument has been pre-audited in the <br /> manner required by the Local Government Budget and Fiscal Control Act: <br /> "Financial Services Director's Signature: 4 n Date: ! 3 ) 12- <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 0(Most other contracts$1,000 and above). Department Director approval only❑(Under <br /> $1,000). This contract has beer - viewed and approved by the Attorney as to legal form and sufficiency: <br /> Attorney's Signature Date: 7/$'1i <br /> County Manager <br /> This contract has been reviewed and is approved by the County Manager Y.esii rto❑. <br /> This contract has been reviewed and is for signature by the Chair Yes❑N <br /> it /1: 7.7_72_ <br /> � � Date: <br /> Manager's Signature: . <br /> Clerk to the Board <br /> Approved by BOCC on the_day of ,20 . Submitted for Chair signature on the_day of ,20 . <br /> "gerk's Signature: Date: <br /> Revised March 2012 <br />