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-- i <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: El Futuro,Inc PartyNendor Contact Person: Luke Smith Contact Phone: 919-688-7101 PartyNendor Address: <br /> 110 W.Main Street City Carrboro State:NC Zip: 27510 Department: Outside Agency Amount: $22,000 Purpose:Outside Agency <br /> Budget Code(s): 10495050-719049 Vendor#57915 (N/A if new vendor) Vendor is a BOCC consultant? Yes 0 No i4 Contract <br /> Type: (Check one)New El Renewal 0 Amendment 0 Effective Date 07/01/2012 Approved by Board Yes." No0 Agenda <br /> Date: 06/19/2012 Title of Contract: 2012-13 Outside Agency Performance Agreement <br /> If this is a Grant Agreement,pre-application has been approved by the Board of Commissioners Yesn No0. If submitted for bid were <br /> bids/RFPs received Yesn Non Bid/RFP number / Th. contract has been reviewed and approved by the Department Director as to <br /> technical content: ) <br /> 44(01 1 10, 1 -- <br /> Department Director's Signature: 4 Date: 2,-. /t <br /> i / <br /> --- <br /> I Di , or <br /> (Applicable only to hardware/software p chases or related services)This contract has been reviewed and approved by the Information <br /> Technology Director as to technical content an. . ormation technology specifications: <br /> IT Director's Signature: _ Date: <br /> Risk Management <br /> Include the following coverages: EfCGL;tr r ErAuto; WC; SProfessional; n Property; 0 OR No Insurance Required 0. Hold <br /> iiContract 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: j Afvuz._, Date: 'if I Z-- 11 2-- <br /> Financial Services <br /> This Contract is conditionepon appropriation by the Board of Commissioners YesnNo12( 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: C/CIA-4,-4A-- , , 141"4--- Date: if,2-/l 2- <br /> County Attorney <br /> Approval by Board IV1 (Contracts over $90,000.00 for goods or services, $250,000.00 for construction, or any BOCC consultant <br /> contract). Approval by Ma :t.-r n (All other contracts). This contract has been reviewed and approved by the Attorney as to legal <br /> form and sufficiency: <br /> 1•-All <br /> Attorney's Signature ,..,,,, Date: <br /> County Manager <br /> This contract has been reviewed and is approved by the County Manager YesErFion. <br /> This contract has been reviewed and is to be submitted for :OCC consideration Yes0Non. <br /> Manager's Signature: 0 II' 100 Date: 7— (60—/Z_- <br /> Clerk to the Board tiii <br /> Approved by BOCC on the day of ,20 Sub.,. ed f. C 4 th <br /> attire on the ,.ay of ,20 . <br /> Clerk's Signature: / ' Date: <br /> Revised April 2010 <br /> IIMIMIII.M.IIMMIMIIMIMMIIIMIIMIMMIMMIMIMI <br />