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^ <br /> c..,22;1/.7 -- ]' z=5 <br /> ORANGE COUNTY—CONTRACT CONTROL Zr� <br /> - - ------ ~' ' u�^�° <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 /> 0`epurtmmmn, <br /> Party/Vendor Name: Charles 1-louse Association Party/Vendor Contact Person: Paul Klever Contact Phone: 919-967-7570 <br /> Party/Vendor Address: 109 Hillcrest Ave City Carrboro State: NC Zip: 27510 Department: DSS Amount: not to exceed$25,000 <br /> Purpose: In Home i Budget Code(s): 10400220'630000 Vendor# if new vendor) Vendor is a BOCC consultant? <br /> Yes oll] Contract Type: (Check one)New fl Renewal N Amendment 0 Effective Date 07/01/12 Approved by Board Yes <br /> 0Nu0 Agenda Date: 06/15/12 Title of Contract:Charles House Association <br /> If this is a Grant Agreement, pre-application has been approved by the Board of Commissioners YeopNo0. If submitted for bid were <br /> hido/RFPo received`yeo[] No0Bid/RFPnumber This contract has been reviewed and approved by the Department Director as to <br /> technical content: <br /> Department Director's Signature: Date: nL`-.)-Cl-/)-- <br /> IT Director <br /> (Applicable only to hardware/software purchases s related 'rvices)This contract has been reviewed and approved by the Information <br /> Technology Director as to technical content and info .t.: technology specifications: <br /> iT Director's Signature: Date: <br /> Risk Management <br /> Include the following coverages: [a'CGL; g' Auto; &VVC; 2/Professional; Ei Property; OR No Insurance Required 0. Hold <br /> Contract pending receipt of Certificate of Insurance Er. With incorporation of Insurance provisions as shown, this contract is approved <br /> by the Risk Manager: <br /> Risk Manager's 8igoature� 1.4....4.4.- 1). D��� ^�/ %��/ 1�-� ', Date: . � �� � <br /> - ` | <br /> ��� - . Lm^/���UZ. <br /> Financial Services <br /> This Co is dhi Yos[�N & h��, umeudmemixn�o �� <br /> before approval `/esLJ wo��. If budget amendment is necessary, please attach to this form. Th s instrument has been pre-audited in the <br /> manner required by the Local Government Budget and Fiscal Cuotru|Act: <br /> Financial Services Director's Signature: /�' P^ Date: 7( 9[ /1--,t <br /> County Attorney <br /> Approval by Board El (Contracts $90,000.00 or more for goods or services, $250,000.00 or mor for construction, or any BOCC <br /> consultant contract). Approval •y Manager other contracts$1,000 and above). Department Director approval only 0 (Undc, <br /> $).0OU)� Tbiocou�uo�baoh� vicwc" �nd d by the Attorney as to legal form and sufficiency: <br /> | <br /> Attorney's Signature <br /> 141, of Dume: -Ilel � i°~ <br /> Attorney's <br /> County Manager <br /> This contract has been reviewed and is approved by the County Manager Yee nZ]. <br /> This contract has been reviewed and is for signat b the Chair YemENu ." <br /> ^�� � /� ��- �� ~� �_~~ <br /> Manager's Signature: it - - Date: ` ~- <br /> Clerk to the Board <br /> Approved by BOCC on the day of ,20 . Submitted for Chair signature on the day of ,20 . <br /> Clerk's Signature: Date: <br /> Revised March 2012 <br />