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�o iz-13(L ` i <br /> ORANGE COUNTY--CONTRACT CONTROL SHEET ' ' - 4� - <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: DDHS Party/Vendor Contact Person: Laura Gerald State Health Director Contact Phone:Danny Staley <br /> Party/Vendor Address: 1931 Mail Service Center City Raleigh 6ugcDc Zip:27699-1931 Department:NC Division of Public Health <br /> Amount: Purpose: Budget Code(s): 10414020 Vendor#na if new vendor) Vendor is a BOCC consultant? Yes <br /> No0 Contract Type:(Check one)New EJ Renewal 1— Amendment a: Effective Date 7/l/20l2 Approved by Board `ycoFlNu <br /> 0 Agenda Date: APPROVED BY THE BOCC ON 8/23/2011 Title of Contract: Amendment to Consolidated Contrac <br /> If this is a Grant Agreement,pre-application has been approved by the Board of C000niominooro`yeo0 Y4n0. If submitted for bid were <br /> bidx/QFPo received Yeu0No0 Qid/RFpoumho, This contract has been reviewed and approved by the Department Director as to <br /> technical content: <br /> Department Director's Signature: Date: <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: [1] CGL; ri Auto; 0 WC; 0 Professional; 0 Property; OR No Insurance Required D. Hold <br /> Contract pending receipt of Certificate of Insurance 1=1. With incorporation of Insurance provisions as shown,this contract is approved <br /> by the Risk Manager: <br /> Risk Manager's Signature: Date: <br /> • Financial Services <br /> This Contract is d| i Commissioners Yes0Nog. A budget amendment is necessary <br /> before approval l,oxLJ NoLxJ. If budget amendment is naoeoaury, please attach to this form. This instrument has been pre-audited in the <br /> manner required by the Local Government Bud � d�i u|Conol& <br /> Financial Services Director's Bigumtmrc /l CK <br /> Date: a id / 2- <br /> County Attorney <br /> Approval by Board 61 (Contracts $90,000.00. or more for goods or services, $250.000.00 or more for ovostrucdoo, or any BOCC <br /> consultant truot) Appno Manager[X(Most other contracts$l0U0 and above). Department Di t |only (Under <br /> $1,000). This contract has b. iewed and approved by the Attorney as to legal form and suffici ncy: iitoc6, a.41.,46z.ezi CA -0) <br /> Attorney's Signature Date: 6? 4 It- <br /> -k*, infi letartr 44 Oil rt(led 40 r00,4-e- <br /> This contract has bee reviewed and is approved by the County Manager Yesaill No0. <br /> T shis contract has been reviewed and is for signature b the Chair Ye KINoilr- <br /> Manager's Signature: (3)fu-(p Date: 6 - 3- /2- <br /> Approved by BOCC on the 2,3day of Cler ,1 the Board r;71 <br /> ,20 V itted Chair signature on th- 7 day of a/ ,20 /2-. <br /> VI 40r A <br /> p\t-_,Ck_se__ 16 CkA) Er nc0 1 nq Onec:A--' ct c\cte 1,--)cci)a_Y-t-1 <br /> Revised March 2012 r .-Kt,cr\ \ e RI a vl\'Du_n i n <br /> Reaa, C-6+US-6 CL1(1 \ Mc_k -4-c vkm -Du( i' n <br />