Orange County NC Website
Browse       Search
h/--- : 7 <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 /> Party/Vendor Name: Town of Carrboro Party/Vendor Contact Person: Holly Holland Contact Phone: Party/Vendor Address: <br /> 301 W. Main St City Carrboro State:NC Zip: 27510 Department: Aging Amount: $1,400.00 Purpose: Town Support of the RSVP <br /> 55+Volunteer Program Budget Code(s): 10434005-448910 Vendor#595 (N/A if new vendor) Vendor is a BOCC consultant? Yes <br /> ❑ <br /> No Contract Type: (Check one)New❑ Renewal® Amendment ❑ Effective Date 07/01/2012 Approved by Board Yes❑ <br /> No Agenda Date: Title of Contract:Town of Carrboro Agreement <br /> If this is a Grant Agreement,pre-application has been approved by the Board of Commissioners Yes❑Non. 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: 9. .c.t.L ‘/ /Date: (o-i9-/Z <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 ❑. Hold <br /> Contract pending receipt of Certificate of Insurance E. With incorporation of Insurance provisions as shown, this contract is approved <br /> by the Risk Manager: / <br /> l <br /> Risk Manager's Signature: n. 4 Date: <br /> ' c__- '7)10 <br /> Financial Services <br /> This Contract is conditio upon appropriation by the Board of Commissioners YesnNot4 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 Budget and Fiscal Control Act: �/ <br /> Financial Services Director's Signature: C A Date: "!1101(L <br /> County Attorney <br /> Approval by Board ❑ (Contracts $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 XMost other contracts$1,000 and above). Department Director approval only❑ (Under <br /> $1,000). This contract has be eview- 14 approved by the Attorney as to legal form and sufficiency: <br /> Attorney's Signature 1`��, Date: 3 1 <br /> County Manager <br /> This contract has been reviewed and is approved by the County Manager Yes2<o❑. <br /> This contract has been reviewed and is for signature by the Chair ,s❑No� <br /> Manager's Signature: i�� Date: 7-(6 `h <br /> Clerk to the Board <br /> Approved by BOCC on the_day of 20 . Submitted for Chair signature n e day of ,20 <br /> Clerk's Signature: Date: -7`/ `( L <br /> ixatai, /J` r <br /> Revised March 2012 � <br />