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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: PreTrial Services for Chatham and Orange Counties,Inc. PartyNendor Contact Person: Joyce Kuhn Contact <br /> Phone: (919)644-7160 PartyNendor Address: 100 N.Churton Street,Suite 205 City Hillsborough State:NC Zip: 27278 Department: <br /> Outside Agency Amount:$70,000 Purpose:Outside Agency Budget Code(s): 10495050-710035 Vendor#29193 (N/A if new vendor) <br /> Vendor is a BOCC consultant? Yes❑No►,,1 Contract Type:(Check one)New® Renewal ❑ Amendment ❑ Effective Date <br /> 07/01/2012 Approved by Board Yes/i No❑ Agenda Date: 06/19/2012 Title of Contract: 2012-13 Outside Agency Performance <br /> Agreement <br /> If this is a Grant Agreement,pre-application has bee, approve. •y the Board of Commissioners Yes❑No❑. If submitted for bid were <br /> bids/RFPs received Yes❑No❑ Bid/RFP nu Ober / h' contract has been reviewed and approved by the Department Director as to <br /> technical content: �a-. �(, 7 <br /> Department Director's Signat _ & / a Date: - -(7- L <br /> T I ector <br /> (Applicable only to hardware/software purchases or related services) _ : tract 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: [v"CGL; Auto; E -WC; ET Professional; ❑ Property; ❑ OR No Insurance Required ❑. Hold <br /> Contract pending receipt of Certificate of Insurance Q. With incorporation of Insurance provisions as shown,this contract is approved <br /> by the Risk Manager: <br /> jRisk Manager's Signature: <br /> Date: 7/' 4,2 <br /> Financial Services <br /> This Contract is conditioned on appropriation by the Board of Commissioners Yes❑NoZ 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 /> AAAA--- <br /> Financial Services Director's Signature: �' Date: 11141z-- <br /> County Attorney <br /> Approval by Board NI (Contracts over $90,000.00 for goods or services, $250,000.00 for construction, or any BOCC consultant <br /> contract). Approval by Man _er ❑ (All other contracts). This contract has been reviewed and approved by the Attorney as to legal <br /> form and sufficiency: ' (� <br /> Attorney's Signature <br /> I ' `�J^` Date: 0_ <br /> County Manager <br /> This contract has been reviewed and is approved by the County Manager YesErNo❑. <br /> This contract has been reviewed and is to be sub I o BO a onsideration Yesj o❑.0 <br /> Manager's Signature: <br /> / Date:7-/6 '/2 <br /> Cl• k to ie Boar <br /> Approved by BOCC on the day of ,20 T fitted 1p,. • signature on the /y of ,20 . <br /> Clerk's Signature: / / _ Date: / 7/1z., <br /> Revised April 2010 . <br />