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A <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 /> Party/Vendor Name: Historical Foundation of Hillsborough&Orange County Party/Vendor Contact Person: Brandie Fields Contact <br /> Phone: (919)732-2201 Party/Vendor Address:201 N. Churton Street City Hillsborough State:NC Zip:27278 Department: Outside <br /> Agency Amount: $4,000 Purpose: Outside Agency Budget Code(s): 10519550-710007 Vendor#3957 (N/A if new vendor) Vendor <br /> is a BOCC consultant? Yes n No Contract Type: (Check one)New Renewal El Amendment El Effective Date 07/01/2012 <br /> Approved by Board Yes 2 No Agenda Date: 06/19/2012 Title of Contract: 2012-13 Outside Agency Performance Agreement <br /> If this is a Grant Agreement, pre-application has bee •13,g o ed by the Board of Commissioners Yes0 Non. If submitted for bid were <br /> bids/RFPs received Yes 0 Non Bid/RFP numeer Tiis contract has been reviewed and approved by the Department Director as to <br /> technical content: I <br /> ,,,,,iffill ■ <br /> Department Director's Signature: AWM1b.. c) C Jr Date: 7 ---i —I 2._ <br /> S <br /> I .'rector <br /> (Applicable only to hardware/software purchases or related se s contract has been reviewed and approved by the Information <br /> Technology Director as to technical content and information tec nology specifications: <br /> IT Director's Signature: Date: _ <br /> Risk M,nagement <br /> Include the following coverages: ErCGL; E(Auto; WC; IE Professional; 0 Property; n OR No Insurance Required 0. Hold <br /> If <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: Uelevil V- I. 1A1---. Date: 7(1 4 (2_ <br /> Financial Services <br /> This Contract is conditioned pon appropriation by the Board of Commissioners YespNo517 A budget amendment is necessary <br /> before approval Yesp 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 Budge and Fiscal Control Act: <br /> Financial Services Director's Signature: 01-JCL-- Date: <br /> County Attorney <br /> Approval by Board Tgl (Contracts over $90,000.00 for goods or services, $250,000.00 for construction, or any BOCC consultant <br /> contract). Approval by Manager E (All other contracts). This contract has been reviewed and approved by the Attorney as to legal <br /> form and sufficiency: <br /> 4 , ) 1\131 <br /> Attorney's Signature Date: 13-- <br /> County Manager <br /> This contract has been reviewed and is approved by the County Manager Yejon. <br /> This contract has been reviewed and is to be submitted for BOCC consideration Yesjalop. <br /> Manager's Signature: /t-f-ed0 Date: -7 - 1 -/ <br /> Clerk to the Board <br /> Approved by BOCC on the day of , i A . ,.ubmitted for C s'g ature on the da of ,20 . <br /> Clerk's Signature: i i I Date: 9 2■' <br /> 4 <br /> Revised April 2010 <br />