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A <br /> --_ / a <br /> ORANGE 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 cump|em,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: Dr. Betty Rintoul Party/Vendor Contact Per on: Dr.Betty Rintoul Contact Phone: 919-602-2482 Party/Vendor <br /> Address: 608 Bolin Creek Dr. City Carrboro State:NC Zip: 27510 Department: DSS Amount: not to exceed$34,500 Purpose: Foster <br /> Care assesments Budget Code(s): Vendor# (N/A if new vendor) Vendor is a BOCC consultant? Yes D No <br /> Contract Type: (Check one)New�7 Renewal �� Amendment �l Effective Date Approved Yo��1 lN"V�| <br /> �~ �. ^� -~~ .�� <br /> Agenda Date: Title of Contract: Dr. Betty Rintoul <br /> If this is a Grant Agreement, pre-application has been approved by the Board of Commissioners Yeo0Nu0. If submitted for bid were <br /> bido/RFpx received YcxFlYJo0 Bid/&FPnumhor This contract has been reviewed and approved by the Department Director as to <br /> technical content: <br /> Department Director's Signature: Date: 6)' (l3 '/2-- <br /> IT Director <br /> (Applicable only to h purchases or related services)This contrac has been reviewed and approved by the Information <br /> T«ohno|ogyDiock/romtotechnicu|uootcrtund information technology specifications: <br /> iT Director's Signature: Date: <br /> yisk Ma9agement <br /> Include the following coverages: EZCGL; Auto; gVc; le Professional; El Property; OR No Insurance Required D Hold <br /> Contract pending receipt of Certificate of Insurance MI. With incorporation of Insurance provisions as shown, this contract is approved <br /> by the Risk Manager: <br /> � 4i1]�inkm@uumger`o8igoatoro: x,n�w'*~^ �� /�pm»—� Du�: <br /> Financial Services <br /> This Contrac is conditi upun appropriation by the Board of Commissioners Yeo0Y4 . A budget amendment is necessary <br /> before approval YesLi Y4"■ . 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 Budget and Fiscal Control Act: <br /> Financial Services Director's Signature: [y J. Date: / iv /J 2� <br /> . <br /> County Attorney <br /> Approval by Board 0 $90,000.0 or more for goods services, $250,000.00 or more for construction, or any BOCC <br /> consultant contract). Approval • K8unugo, er contracts$1,000 and above). Department Director approval only 0 (Under <br /> $1.080). This contract has bee vic*o° a d d6y the AuocnoYaoto legal form and eu85 i cy: <br /> i � 1 <br /> \ <br /> Attorney's Signature <br /> � ^ <br /> County Manager <br /> This contract has been reviewed and is approved by the County Manager Yes0 No0. <br /> This contract has been reviewed and i for i nat by hair Ycx0Nn0. <br /> ` �/ �/'/�,-- �0�mnmgor`xSiQomtunu: Dute:/^ / �^ � -�___' <br /> Clerk to the Board <br /> Approved by BOCC on the day of ,20 . Subminrdf,,Chui,aignutupron&oduyof ,20 . <br /> Clerk's Signature: Date: <br /> Revised March 2012 <br />