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p/J'111 <br /> ORANGE COUNTY—CONTRACT CONTROL SHEET '`; k <br /> � <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: David Welch, Party/Vendor Contact Person: David Welch Contact Phone: 919-929-8391 PartyNendor Address: <br /> 20 East Drive City Chapel Hill State:NC Zip: 27516 Department: DEAPR Amount: $2,200 Purpose: Data collection(demographic, <br /> socioecono 1' •,• .• ••r. is• and anal sis for Oran.e C• .i i •u.rehensive Parks and Recr-. is 1 u. - ' . Budget Co eTs): <br /> 10610020 630000 Vendor#03o (N/A if new vendor) Vendor is a BOCC consultant? Yes No Contract Type: (Check one) <br /> New® Renewal❑ Amendment ❑ Effective Date May ,2012 Approved by Board Yes❑No■ Agenda Date: Title <br /> of Contract: Demographic, Socioeconomic,and Transportation Data Collection and Analysis for Orange County Comprehensive Parks <br /> and Recreation Master Plan <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 /> Department Director's Signature: <br /> iL°c1 �! Date: 5114)12_ <br /> IT Director <br /> (Applicable only to hardware/software purchases or related services)This contract has been reviewed and approved by the Information <br /> Technolo y Director as to chnical content and information technology specifications: <br /> IT Director's 'gnature: \ te: <br /> Risk Management <br /> Include the following coverages: ❑ CGL; ❑ Auto; ❑ WC; ❑ Professional; ❑ Property; ❑ OR No Insurance Required [L]-'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: Date: 5.Z/' IL-- <br /> kit d 5'/f7/!2. i d4ieffin 1 cow (cextc .'s siy'riafwt.e) <br /> Financial Services <br /> This Contract is conditioned 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: et a44-4,..,.. A MA— Date: 5(24f t <br /> -1-zc. slz( <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 Manager,2-all other contracts). This contract has been reviewed and approved by the Attorney as to legal <br /> form and sufficiency: <br /> Attorney's Signature Date: <br /> County Manager <br /> This contract has been reviewed and is approved by the County Manager Y1No0. <br /> This contract has been reviewed and is to be bmitted for BOCC consideration Yes❑No' <br /> Manager's Signature: I <br /> I l / Date: 7-2 "/v <br /> le, ti the :oard <br /> Approved by BOCC on the day of ,20., Sr ub ed for Chair signature on the day of ,20 . <br /> Clerk's Signature: (/// Date: I <br /> Revised April 2010 <br />