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la_)91 <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 /> PartyNendor Name: Jason's Deli PartyNendor Contact Person: Olivia Willard Contact Phone:(919)710-5422 Party/Vendor Address: <br /> 0 5408 New Hope Commons Drive City Durham State:NC Zip:27707 Department:Human Resources Amount:$,5904.00 Purpose: <br /> N c-----.Budget Code(s): Vendor# (N/A if new vendor) Vendor is a BOCC consultant? Yes ❑No Contract Type: <br /> (Check one)New® Renewal❑ Amendment ❑ Effective Date 05/25/12 Approved by Board Vest]No❑ Agenda Date: <br /> Title of Contract:Representation Agreement for OC v.Hillsborough Appeal <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: e <br /> Department Director's Signature: X 11 ', - Date: <br /> IT Director jr,/____ / 7 <br /> 5 (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: ❑ CGL; ❑ Auto; ❑ WC; ❑ Professional; ❑ Property; ❑ OR No Insurance Required E. 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 upon appropriation by the Board of Commissioners Yes❑NoV. A budget amendment is necessary <br /> before approval Yes❑ No ]. If budget amendment is necessary,please attach to this form. This instrument has been pre-audited in the <br /> manner required by the Local Government Budg t and Fiscal Co trol ct: <br /> Financial Services Direct is Signature: V0"1-4^/ Date: ( if i <br /> 1 <br /> County Attorney <br /> Approval by Board ❑ (Con.a s over $90,000.00 for goods or services, $250,000.00 for construction, or any BOCC consultant <br /> contract). Approval by Man.,. /'o (Al other contracts). This contract has been reviewed and approved by the Attorney as to legal <br /> form and sufficiency: I <br /> mir 'I 07) <br /> Attorney's Signature Date: (2411, <br /> County Manager <br /> This contract has been reviewed and is approved by the County Manager Yes o❑. <br /> This contract has been reviewed and is to be submi�• for BOC : sideration Yes❑Noi <br /> Manager's Signature: Date: <br /> t <br /> Clerk to the Board <br /> Approved by BOCC on the day of /.1,0 . :ubmitted for chair ig u e on the day of ,20 . <br /> pp Y Y , <br /> Clerk's Signature: �� Date: 6 7/..di z. <br /> Revised April 2010 <br />