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_,<_ }L2- ;2::-y~ <br /> ORANGE COUNTY-CONTRACT CONTROL SHEET <br /> Routing Order: (l)Depmbucn1,(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: Chapel Hill Carrboro Meals on Wheels Party/Vendor Contact Person: Stacey Yusko Contact Phone: 919-942- <br /> 2948 Party/Vendor Address: 1712 Willow Dr. City Chapel Hill State:NC Zip: 27514 Department: County Manager Amount: $1,500 <br /> Purpose: Outside Agency Budget Code(s): 10405050'719053 Vendor#80005 new vendor) Vendor is a BOCC consultant? <br /> Yes o61 Contract Type: (Check one)New Reoe,vu\LI Amendment 0 Effective Date 07/01/2012 Approved by Board Yes <br /> tEyVorl Agenda Date: O6/lP/20)2 Title of Contract:20 12-13 Outside Agency Performance Agreement <br /> If this is a Grant Agreement pre-application h • -n proved by the Board of Commissioners Ycy0 Nu0. If submitted for bid were <br /> bido/RFyx received 9co0No[] Bi This contract has been reviewed and approved 6y the Department Director uoto <br /> technical content: ' <br /> liOIL 7 ~ 1- K L <br /> Department Director's Signature: « --- Date: <br /> D' •otor <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 /> isk Management <br /> Include the following coverages: d CGL; [d Auto; WC; IIU Professional; 0 Property; OR No Insurance Required D. Hold <br /> EldR <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: <br /> njaatv4-4-1 .13. 41A-A-- Date: 7-(1 -ii- <br /> Financial Services <br /> This Contract is conditionepon appropriation by the Board of Commissioners Yes0No[g< A budget amendment is necessary <br /> before approval Yes0 NolUr. 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: (44„,L, if), 41-- <br /> County Attorney <br /> Approval by Board kt (Contracts $90,000.00 or more for goods or services, $250,000.00 or more for construction, or any BOCC <br /> consultant contract). Appr• al by Manager Ei (Most other contracts$1,000 and above). Department Director approval only 0 (Under <br /> $1,000). This contract ha, s - revie ,,ed and approved by the Attorney as to legal form and suffi iency: <br /> ill <br /> ■ ,41 9.---\ <br /> County Manager <br /> This contract has been reviewed and is approved by the County Manager YesErNo0. <br /> This contract has been reviewed and is for signature by the Chair Yes2I1o0. <br /> DAQ ot <br /> a k to the Board /6 <br /> Approved by BOCC on the day of 4111111A li i. Submitted for Chair sign ture on e d., of ,20 . <br /> Clerk's Signature: ir ap Date: / t 2----- <br /> Revised march 2012 <br />