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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 /> Party/Vendor Name: Orange Congregations in Mission Party/Vendor Contact Person: Kay Stagner Contact Phone:(919)732-6194 <br /> Party/Vendor Address: 300 Millstone Drive City Hillsborough State:NC Zip:27278 Department:Outside Agency Amount:$35,000 <br /> Purpose:Outside Agency Budget Code(s): 10495050-710031 Vendor#800010 (N/A if new vendor) Vendor is a BOCC consultant? <br /> Yes❑No Contract Type:(Check one)New® Renewal❑ Amendment El Effective Date 07/01/2012 Approved by Board Yes <br /> 0 No❑ Agenda Date:06/19/2012 Title of Contr.ct:2012-13 Outside Agency Performance Agreement <br /> If this is a Grant Agreement,pre-application h. bee• approved by the Board of Commissioners Yes❑No❑. If submitted for bid were <br /> bids/RFPs received Yes❑No❑ Bid/RFP n#,•-r This contract has been reviewed and approved by the Department Director as to <br /> technical content: <br /> Awl 1411■ <br /> Department Director's Signatur AMA-e� ■ Date: "7.- S '- <br /> NNW <br /> IT Di AL <br /> (Applicable only to hardware/software purchases or related services) ntract 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 M agement <br /> Include the following coverages: [�CGL; Auto; WC; professional; ❑ Property; ❑ OR No Insurance Required U . 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 /> Risk Manager's Signature: C A. 41.--./ Date: 7//40 a <br /> Financial Services <br /> This Contract is conditioned Aon appropriation by the Board of Commissioners Yes❑No[( A budget amendment is necessary <br /> before approval Yes❑No f. 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 /,d Fiscal Control Act: 11411Z Financial Services Director's Signature: `� o ' v i_ Date: <br /> County Attorney <br /> Approval by Board El (Contracts over $90,000.00 for goods or services, $250,000.00 for construction, or any BOCC consultant <br /> contract). Approval by Man..er X(All other contracts). This contract has been reviewed and approved by the Attorney as to legal <br /> form and sufficiency: <br /> Attorney's Signature _ W VA Date: 7 1311a. <br /> 1 I <br /> County Manager <br /> This contract has been reviewed and is approved by the County Manager YesJ - o❑. <br /> This contract has been reviewed and is to be submitted for BOCC c,nsideration Yesi'No❑. <br /> Manager's Signature: i ' 0 0 7 Date: "/ _l 6 Z <br /> Jerk to the Board <br /> Approved by BOCC on the_day of A, 0/i bmitted for Chair signature on e d of ,20 . <br /> Clerk's Signature: > / ■ Date / /�°' <br /> Revised April 2010 <br />