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20(2.-Mb <br /> s <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: Fun 2 Ref-Lynn Dunbar PartyNendor Contact Person: Lynn Dunbar Contact Phone:919-477-3533 <br /> Party/Vendor Address: 1105 Infinity Road City Durham State:NC Zip:27712 Department:DEAPR Amount:$6200.00 Purpose: <br /> Referee Services Budget Code(s): 10511020-630000 Vendor#59066 (N/A if new vendor) Vendor is a BOCC consultant? Yes❑ <br /> No Contract Type:(Check one)New® Renewal❑ Amendment ❑ Effective Date April 25,2012 Approved by Board Yes❑ <br /> No❑ Agenda Date: Title of Contract:Referee Services <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: Date: SI iz J 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 /> Technology Director as to technical content and information technology specifications: <br /> IT Directo i nature: Date: <br /> Risk MannEement <br /> Include the following coverages: ❑ CGL; ❑ Auto; ❑ WC; ❑ Professional; ❑ Property; OR No Insurance Required p: 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 colt L% Date: 5.L/• / 7i <br /> 1� �tC 'd s//?//Z C ative`5. or tyma/s,,?eut/w4,e) <br /> Financial Services <br /> This Contract is condition d neon 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 Ac <br /> Financial Services Director's Signature: etar4.-2,-, � Date: 5141 Z <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 Managest other contracts$1,000 and above). Department Director approval only❑(Under <br /> $1,000). This contract has been reviewed and approved by the Attorney as to legal form and sufficiency: <br /> Attorney's Signature i - Date. �'� 7� '�, 0.--- c".-377,2"....--: .4kZlis:;k\ <br /> County Managcr No _ <br /> This contract has been reviewed and is approved by th County Manager Y ❑. <br /> This contract has been reviewed and is for si.natur the Chair Yes014 <br /> Manager's Signature: , Date: () �;?' -1 Z' <br /> Clerk to le Board <br /> Approved by BOCC on the_day of , . Si mined for Chair signature on tl d y of ,20_ <br /> Clerk's Signature: Date: 3V l <br /> Revised March 2012 <br />