Orange County NC Website
t . �if.P CL <br /> ;PI)s�l -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: Northern Blue Party/Vendor Contact Person: Carol Holcomb Contact Phone: 919-968-4441 PartyNendor <br /> Address: PO Box 2208 City Chapel Hill State:NC Zip: 27515-2208 Department: DSS Amount: not to exceed$165,000 Purpose: legal <br /> services Budget Code(s): 1040022063400 Vendor# (N/A if new vendor) Vendor is a BOCC consultant? Yes❑No❑ <br /> Contract Type:(Check one)New❑ Renewal ® Amendment ❑ Effective Date 07/01/12 Approved by Board Yes No❑ <br /> Agenda Date: 06/05/12 Title of Contract:Northern Blue L.L.P <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: _i,,` - Date: OL )-)-t L <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: ❑ CGL; ❑ Auto; ❑ WC; [Professional; ❑ Property; OR No Insurance Required D. 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 /> CQ 1i <br /> Risk Manager's Signature: Iii. ,�� Date: �" <br /> Financial Services <br /> This Contract is condition pon appropriation by the Board of Commissioners Yes❑NoX. 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 Bud et and Fiscal Control Act: <br /> Financial Services Director's Signature: �'In,G.,vv ,p, Date: ia(1- <br /> County Attorney <br /> Approval by Boarntracts $90,000.00 or more for goods or services, $250,000.00 or more for construction, or any BOCC <br /> consultant contract). Approval by Manager❑ (Most other contracts$1,000 and above). Department Director approval only ❑ (Under <br /> $1,000). This contract has been revi wed proved by the Attorney as to legal form and sufficiency: <br /> Attorney's Signature Date: 7--q--/a <br /> County Manager <br /> This contract has been reviewed and is approved by the County Manager Ye No❑. <br /> This contract has been reviewed and is for •. ure . N <br /> the air Yes ' Q <br /> er g <br /> Manager's Signature: ' � ' ' Date: 0 <br /> g <br /> Clerk to , Board <br /> Approved by BOCC on the day of ,2 i S . itted for Chair signature .i, I da of ,20 . <br /> Clerk's Signature: Date: <br /> � f <br /> Revised March 2012 <br />