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--"<-=. 7 <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: Communities in Schools of Orange County PartyNendor Contact Person: Sheila D. Sholes-Ross Contact Phone: <br /> 919-967-6677 PartyNendor Address: 151 East Rosemary Street, Suite 207 City Chapel Hill State:NC Zip:27514 Department: <br /> Outside Agency Amount: $45,000 Purpose: Outside Agency Budget Code(s): 10495050-710034 Vendor#26951 (N/A if new vendor) <br /> Vendor is a BOCC consultant? Yes❑No Contract Type:(Check one)New® Renewal❑ Amendment ❑ Effective Date <br /> 07/01/2012 Approved by Board Yes®No❑ Agenda Date:06/19/2012 Title of Contract:2012-13 Outside Agency Performance <br /> Agreement <br /> If this is a Grant Agreement,pre-application has been appro •d by the Board of Commissioners Yes❑No❑. If submitted for bid were <br /> bids/RFPs received Yes❑No❑ Bid/RFP number -is contract has been reviewed and approved by the Department Director as to <br /> technical content: <br /> 40 <br /> Department Director's Signature: = t= ) Date: 3 —1 Z <br /> IT Dire or <br /> (Applicable only to hardware/software purchases or related services)Thi -s Itra, 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 Management <br /> Include the following coverages: VCGLAcl Auto; ►/ WC; Ig3 Professional; (Property; ❑ OR No Insurance Required ❑. Hold <br /> Contract pending receipt of Certificate of Insurance 0. With incorporation of Insurance provisions as shown,this contract is approved <br /> by the Risk Manager: <br /> Risk Manager's Signature: e",..,. I , Date: 1 q( 2- <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 t: 'f , / <br /> Financial Services Director's Signature: q Date: �" /Z//L <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 anag 1=1 (All other contracts). This contract has been reviewed and approved by the Attorney as to legal <br /> form and sufficiency: n <br /> Attorney's Signature U Date: .1I13 12 <br /> County Manager <br /> This contract has been reviewed and is approved by the County Manager YesEallo❑. <br /> This contract has been reviewed and is to be submitted for BOCC consideration YesBNo❑. <br /> Manager's Signature: Date: 7 — (l0—I Z <br /> Clerk to the Board <br /> Approved by BOCC on the day of ,20 . Submitted for Chair signature on the day of ,20 . <br /> Clerk's Signature: Date: <br /> Revised April 2010 <br />