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' <br /> --`^-' = -'�"-1s <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 /> Pu,tyNendorNmnc Orange County Disability Awareness Council 9urtyNomdorCootact Person: Timothy Miles Contact Phone:919- <br /> 969-3032 Party/Vendor Address: 503 W.Frankling Street City Chapel Hill State:NC Zip: 27516 Department: Outside Agency <br /> Amount:$2,500 Purpose:Outside Agency Budget Code(s): 10495050-710032 Vendor#800037 /A if new vendor) Vendor is a <br /> BOCC consultant? Yes NoZ Contract Type:(Check one)New[E] Renewal 0 Amendment 0 Effective Date O7/Ol/2O/2 <br /> Approved by Board Yes I. luoLJ Agenda Date:06/19/12 Title v[Contract:20l2'l30umidc Agency Performance Agreement <br /> If this is a Grant Agreement, application has be up^ oved by the Board of Commissioners Yes NoIJ. If submitted for bid were <br /> hido/RFPo received yeoLJNnLJBid/RFPomb This contract has been reviewed and approved by the Department Director as to <br /> technical content: NP <br /> Dcpmmoneom0hmmonr'o8.: ature: ~~ Date: 7 ._-11 --I-_---_v� �� ' I__ <br /> ,`� � <br /> Dir. tor <br /> (Applicable only/o6u,~' • ./m are purchases or related '' ' es)This contract es)This contract has been reviewed and approved by the Information <br /> Technology Director as to technical content and information technology specifications: <br /> if Director's Signature: Date: <br /> Risk Management <br /> �� <br /> lodudvdheb,Uvp,in� �~cmAco� �� CG�� �� T�C� ��pro�;oviuuuJ� Flp,opc�Y' FlO@�oloonnm�� Bx�uircdFl. Hold <br /> coverages: . ''-_. WC; Ni . �~ . �~ �� <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 /> Risk Monmger`a8igmature: 61"4,4,..) <br /> e/( I), 41■-4--- Date: '� 2-' <br /> Financial Services <br /> �� <br /> This Cnn�ac/ ixcoodidonod upon appropriation hy the BomdufCoonnixmiooc, Y,y[]J�oL� A budget amendment is necessary <br /> before approval Yro0 No5r. 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 /> � . <br /> Financial 8er,�oaK�i�cuor`o0igoatmre' aiv1^4^-e �� D��� ^�����,�. ��' � Date: .�. � <br /> County Attorney <br /> Approval by Board k(Contracts over $90.000.00 for goods or services, $250,000.00 for coommcxinu, or any BOCC consultant <br /> contract). Approval by M. e, 0 (All other contracts). This contract has been reviewed and approved by the Attorney as to legal <br /> form and sufficiency: <br /> } <br /> Attorney's �U <br /> Signature /� � � <br /> � Oc\ Date: 1 t lz <br /> County Manager <br /> This contrac has been reviewed and is approved by the County Manager ��.EmoLJ. <br /> 1 <br /> This contrac has been reviewed and is to b submitted for BOCC consideration Y923 "0. <br /> I <br /> Manager's Signature: <br /> ill I 1 / /L/ Date: / z, <br /> rk to the Board �� <br /> �� '� ' <br /> Appm,edhy BOCC oo�e day of �k, Suhmiuod�«Cb^baiguanveoumc day of ,20 . <br /> Clerk's Signature: I� Date:r� � <br /> Revised April 2010 <br />