Orange County NC Website
/ <br /> .=7r)'_;"` <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 /> PurtyNondorl4moo: Big Brothers Big Sisters of Triangle Party/Vendor Contact Person: Kim Breeden Contact Phone: (919)850-9772 <br /> Party/Vendor Address: 909 Aviation Parkway, Suite 1500 City Morrisville State:NC Zip:27560 Department: County Manager <br /> Amount: $2,000 Purpose:2012-13 Outside Agency Allocation Budget Code(s): 10405050'719039 Vendor#800044 f new <br /> vendor) Vendor is a BOCC consultant? Yes 0YuoE Contract Type: (Check one)New Renewal ■ Amendment 0 Effective <br /> Date 07/01/2012 Approved by Board Yes Y4n0 Agenda Date: 06/)9/20)2 Title of Contract: <br /> If this is a Grant Agreement, pre-application has been pproved by the Board of Commissioners Yeo0No0. If submitted for bid were <br /> bids/RFPs oucived,Ycm0 YJo0 8id/DFpuu 'or This contract has been reviewed and approved by the Department Director as to <br /> technical content: <br /> AA <br /> � �� —� <br /> Department Director's 8�pmt ': „L�� Date: '2 If--/ <br /> ^~~—' <br /> -= <br /> IT Dire or <br /> (Applicable only to hardware/software purchases or elated services) his contrac has been reviewed and approved by the Information <br /> Technology Director as to technical content and inf,nomiuu,00hu~ "gy specifications: <br /> IT Director's Signature: Date: <br /> Risk Management <br /> Include the following coverages: 2/CQL; EfAu WC; r�'Poofeouioou|; �� Property; OR No Insurance Required Fl. Hold <br /> Coo1,aotpeudiogrcueiptofCe�iOcutcnfluouruuoe [�� With incorporation of Insurance provisions as shown, this contract is approved <br /> by the Risk Manager: <br /> /�' // �Y /�_ i�- <br /> QliokB�aougcr'wSignature: �~l"^�'`�"�� �� . �y*�^~ Date: ' / ' --/ <br /> Financial Services <br /> This Contract is conditionepon appropriation by the Board of Commissioners loo0} oN/ <br /> A budget amendment is necessary <br /> before approval },ou0 Nngial 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 /> /� / ' <br /> Financial Services Iyircotor"oSignature: //[/i-^ ^^� /]' D�uc "1/11414— <br /> County Attorney <br /> �� for construction, BOCC <br /> Approval by Board �� (Contracts $90,000.00 or more for goods or services, $250,000.00 or more � c000�u oo. cn any <br /> consultant contract). Appro ' by Manager 0 (Most other contracts$1.000 and above). Department Director approval only 0 (Under <br /> $1,000). Thiocontructhuuh- review and approved by the Attorney as to legal form and sufficiency: <br /> / <br /> Attorney's Signature y�' Np Date: —�i 13k }/ �X- <br /> - � / <br /> County Manager <br /> This contract has been reviewed and is approved by the County Manager YeoamoLJ. <br /> This contrac has been reviewed and isf�roigu�ur by�eChair `yun��Nu�l. <br /> Manager's Signature: ( Date: 7— [ C~— / 7.—C} u <br /> Approved by BOCC on the day of ,2O / <br /> KnC6u�o�uumreon�c day o' <br /> ,20 <br /> y I. <br /> Clerk's Signature: / / v Date: /g / ? ' <br /> Revised March 2012 <br />