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eta-,_-_-_,?(-4.- 9 <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 /> PartyNendor Name: KidSCope PartyNendor Contact Person: Linda Foxworth Contact Phone:919-644-6590 Party/Vendor Address: <br /> 800 Eastowne Drive,Suite 105 City Hillsborough State:NC Zip:27278 Department:Outside Agency Amount:$75,000 Purpose: <br /> Outside Agency Budget Code(s): 10495050-710015 Vendor#80060 (N/A if new vendor) Vendor is a BOCC consultant? Yes El No <br /> ® Contract Type:(Check one)New® Renewal❑ Amendment ❑ Effective Date 07/01/2012 Approved by Board Yes Non <br /> Agenda Date:06/19/2012 Title of Contract:2012- . u utside ; gency Performance Agreement <br /> If this is a Grant Agreement,pre-application has b - approv d by the Board of Commissioners Yes❑Non. If submitted for bid were <br /> bids/RFPs received Yes❑No❑ Bid/RFP nu ,• T s contract has been reviewed and approved by the Department Director as to <br /> technical content: A AIWA I II rilk <br /> Department Director's Sign. re: *.' Date: I <br /> I2- <br /> �P or <br /> (Applicable only to hardware/software purchases or related ervices)Thi contract has been reviewed and approved by the Information <br /> Technology Director as to technical content and information to • -:' specifications: <br /> IT Director's Signature: Date: <br /> Risk Management <br /> Include the following coverages: [/CGL; [Auto; WC; [Professional; ❑ Property; El OR No Insurance Required 0. 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: �""�""`^' 1D• Date: ��12� �" <br /> Financial Services <br /> This Contract is conditioned on appropriation by the Board of Commissioners Yes❑No . 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: /11 / 1�� Date: 1/1 ZI'i'z <br /> County Attorney <br /> Approval by Board ❑ (Contracts over $90,000.00 for goods or services, $250,000.00 for construction, or any BOCC consultant <br /> contract). Approval by Manager El (All other contracts). This contract has been reviewed and approved by the Attorney as to legal <br /> form and sufficiency: <br /> Attorney's Signature Date: <br /> County Manager <br /> This contract has been reviewed and is approved by the County Manager Yes R o❑. <br /> This contract has been reviewed and is to be submitted for BOCC consideration Yes2i1o0. <br /> Manager's Signature: Date: 7 '1 ' -/Z <br /> Clerk to the Board l <br /> Approved by BOCC on the day of - ,2' . bmitted for Chair si$ on the ay of ,20 . <br /> Clerk's Signature: 1 /_. Date: 7 /r i Z <br /> Revised April 2010 <br />