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/ <br /> . ' <br /> [ <br /> rv3\�� \��L �� <br /> i - 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 /> " `... .` .` ".~ . •' •, '"^ ," • - ' `'.''... ,•• • . N. ^..•'•` ... . •••• '.` ^.~ . • :el .•• • . '.° . — , <br /> BOCC approval mus be submitted through,and complete,the routing process prior to agenda review. Contracts for legal review shonld <br /> be completed through the legal review process prior to being routed for signature. <br /> Department <br /> PortyNxodorNmor: Disute Settlement Center Party/Vendor Contact Person: Frances Henderson Contact Phone: 919-929-8800 <br /> Party/Vendor Address: 302 West Weaver St. City Carrboro State:NC Zip:27510 Department: Social Services Amount: $10,000 <br /> Purpose:To Amend Original Agreement to Include Staff Training/Curriculum Development Budget Code(s): Vendor# <br /> A if new vendor) Vendor is a BOCC consultant? Yes EI NoZ Contract Type: (Check one)New El Renewal Amendment <br /> Z Effective Date 7/1/g1 Approved by Board l,uo0No0 Agenda Date: Title of Contract: Amendment to Dispute <br /> Settlement Center <br /> If this is a Grant Agreement, pre-application has been approved by the Board of Commissioners YumE]No0. If submitted for bid were <br /> hido/RFPoreceived l'oa0No0 Bid/RFP number This contract has been reviewed and approved by the Department Director as to <br /> technical content: <br /> �� <br /> �� �� <br /> ]�xpurtmantD^irmcror`uSignature: /��*^�—__ Date: ��/,�/v- e�-_ <br /> ', <br /> IT Director <br /> (Applicable only tc 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 Sigoature: Date: <br /> Risk Management <br /> Include the following coverages: 0 CGL; E] Auto; 0 wc; 0 Professional; 0 Property; OR No Insurance Required 0. Hold <br /> Contract pending receipt of Certificate of Insurance O. 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 condition d Commissioners l/ex��l� & budget umeodozoo1ixnecessary <br /> before approval l/ex�l .'lfb ''et'amendou`��i000uoao�9, please o�acbtothis form. This boo�um�thas been pre-uud�edbothe <br /> mam�,c��dby the�u�GovernmentB and Fiscal Contrn1Act: <br /> 0� L� � /JA.-L_.---- � � / ��FiounxiuY8orpiccoDirectur`m8ignmtore: Date: <br /> County Attorney <br /> Approval by Board El (Contracts $90.800.00 or mor for goods or services, $250,000.00 or more for construction, or any BOCC <br /> consultant contract). Approval b Manager ' (Most other contracts$1,000 and above). Department Director approval only 0 (Under <br /> $1,000). This contract has been reviewed and approved by the Attorney as to legal form and sufficiency: <br /> Attorney's Signature, Date: <br /> County Manager <br /> This contract has been reviewed and is approved by the County Manager YouErNo0. <br /> This contract has been reviewed and is for signature b - air Yes00oZ. <br /> '_ <br /> � <br /> y / /r - _ /~� 2. <br /> � � u , <br /> Manager's Signature: x /^ -'^' Date: '- <br /> &- "�}erkto the D«ound <br /> of /V/l Submitted Do�Cba�oi�ou�rn«"�Hi/� day 20 <br /> '�ppnnv�dhyD0CCoutb� day / . . . --- ' , � <br /> -__ / <br /> ' -- Date: & //4y//�� <br /> Clerk's Signature: <br /> &/' <br /> � � = ' . ' <br /> Revised March 2012 <br />