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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: Joint Orange Chatham Community Action(JOCCA) PartyNendor Contact Person: Sandra R.Morgan Contact <br /> Phone:919-542-4781 PartyNendor Address:35 Chatham Street West,PO Box 27 City Pttsboro State:NC Zip:27312 Department: <br /> Outside Agency Amount: $20,000 Purpose:Outside Agency Budget Code(s): 10495050-710006 Vendor#800008 (N/A if new <br /> vendor) Vendor is a BOCC consultant? Yes❑No Contract Type:(Check one)New® Renewal ❑ Amendment ❑ Effective <br /> Date 07/01/2012 Approved by Board Yes No❑ Agenda Date: 06/19/2012 Title of Contract:2012-13 Outside Agency <br /> Performance Agreement <br /> If this is a Grant Agreement,pre-applicati. be: approved by the Board of Commissioners Yes❑No❑. If submitted for bid were <br /> bids/RFPs received Yes[1]No❑ Bid • "' ,be. This contract has been reviewed and approved by the Department Director as to <br /> technical content: <br /> Department Director's . gnature: -�1V' _, Date: 1 <br /> `_, _g 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 M agement <br /> Include the following coverages: [�CGL; Auto; WC; professional; El Property; ❑ OR No Insurance Required 1=1. Hold <br /> Contract pending receipt of Certificate of Insurance QC With incorporation of Insurance provisions as shown,this contract is approved <br /> by the Risk Manager: nn// n, <br /> Risk Manager's Signature: l/l ,�. /y'^4.--• Date: <br /> Financial Services <br /> This Contract is conditioned on appropriation by the Board of Commissioners YespNolle 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: l/1,a .A..l t/ A /d""^ Date: 71141 2' <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 ❑ (All other contracts). This contract has been reviewed and approved by the Attorney as to legal <br /> form and sufficiency: <br /> �1 O <br /> Attorney's Signature Date: <br /> la- <br /> County <br /> Manager <br /> This contract has been reviewed and is approved by the County Manager YesEllgo❑. <br /> This contract has been reviewed and is to be submitted for BOCC consideration Yes❑No❑. <br /> Manager's Signature: 716-tth Date: 7 — /b <br /> Clerk to the Board / <br /> Approved by BOCC on the day of 20 . Submitted for Chair sig 4l . .n the day f ,20 . <br /> Clerk's Signature: Date: 7 l / Z <br /> Revised April 2010 <br />