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- <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: A Helping Hand PartyNendor Contact Person: Cathy Ahrendsen Contact Phone: (919)403-5555 Party/Vendor <br /> Address: 1502 West NC Hwy. 54, Suite 405 City Durham State:NC Zip:27707 Department:Outside Agencies Amount: $1,600 <br /> Purpose: Outside Agency Budget Code(s): 10495050-720085 Vendor#800034 (N/A if new vendor) Vendor is a BOCC consultant? <br /> Yes 0 No Contract Type: (Check one)New Z Renewal 0 Amendment 0 Effective Date 07/01/2012 Approved by Board Yes <br /> Z No0 Agenda Date: 06/19/2012 Title of Contract: 2012-13 Outside Agency Performance Agreement <br /> If this is a Grant Agreement,pre-application as b -n approved by the Board of Commissioners Yes0 No0. If submitted for bid were <br /> bids/RFPs received Yes[]No0 Bis • Pp r This contract has been reviewed and approved by the Department Director as to <br /> technical content: <br /> Department Director's Signatur tan crac g Date: 7^7 •••• 2-- <br /> Direct r <br /> (Applicable only to hardware/software purchases or related s•INIIrr is contract has been reviewed and approved by the Infolluation <br /> Technology Director as to technical content and information technology specifications: <br /> IT Director's Signature: Date: <br /> Risk Mrtagement <br /> Include the following coverages: NICGL; dAuto; WC; a Professional; El Property; OR No Insurance Required 0. Hold <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: et0"4"--4.--• • Date: if PI/2.- <br /> Financial Services <br /> This Contract is conditionepon appropriation by the Board of Commissioners Yes0Nolil A budget amendment is necessary <br /> before approval Yes0 Noll. 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: 4 Date: / 211 2-- <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 Manager 0 (All other contracts). This contract has been reviewed and approved by the Attorney as to legal <br /> form and sufficiency: <br /> Attorney's Signature <br /> Date: 71E3(12__ <br /> County Manager <br /> This contract has been reviewed and is approved by the County Manager Yes[2-No0. <br /> deration contract has been reviewed and is to be submitted for BOCC con eration Yes0NoE. <br /> Manager's Signature: ZIAiLq Date: 1 - 1 1 2- <br /> Clerk to the Board <br /> Approved by BOCC on the day _ ,2 . Submitted for Chair signa,41.1 11: da of ,20 <br /> Clerk's Signature: Date: 1 e <br /> Revised April 2010 <br />