Orange County NC Website
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: Fun2Ref Party/Vendor Contact Person: Lynn Dunbar Contact Phone: 9194773533 PartyNendor Address: 1105 <br /> Infinity Road City Durham State:NC Zip:27712 Department: DEAPR Amount: 31, 576.00 Purpose: Referee Service FY12-13 <br /> Budget Code(s): 630000 Vendor# (N/A if new vendor) Vendor is a BOCC consultant? Yes❑No Contract Type: (Check <br /> one)New❑ Renewal® Amendment ❑ Effective Date 7/15/2012 Approved by Board Yes❑No Agenda Date: Title <br /> of Contract: Referee Contract <br /> If this is a Grant Agreement,pre-application has been approved by the Board of Commissioners Yes❑Non. If submitted for bid were <br /> bids/RFPs received Yes❑No Bid/RFP number This contract has been reviewed and approved by the Department Director as to <br /> technical content: C\� <br /> Department Director's Signature: f 1 �-Y Date: 1)5)12 <br /> IT Director <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 /> Risk Ma cement <br /> Include the following coverages: d CGL; g Auto; WC; Professional; 1:1 Property; OR No Insurance Required ❑. 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: el.�D G 4/140---A Date: bl(lvl i 7' <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 ct: <br /> Financial Sery i ces Director's Signature: 6/414'-°'' Control <br /> 441----.. Date: jb((L <br /> _ <br /> County Attorney <br /> Approval by Board ❑ (Contracts $90,000.00 or more for goods or services, $250,000.00 or more for construction, or any BOCC <br /> consultant contract). Approval by Manager fn (Most other contracts$1,000 and above). Department Director approval only ❑ (Under <br /> $1,000). This contract has be-or eviewed and approved by the Attorney as to legal form and sufficiency: <br /> Attorney's Sig ature �' Date: 7/1811,2 <br /> * Col APP�2. ove yj 718 ( <br /> County Manager <br /> This contract has been reviewed and is approved by the County Manager Ye4a1 Non. <br /> This contract has been reviewed and is f• •_ . e b •e Chair Yes❑N' <br /> 22 <br /> Manager's Signature: `/ _ Date:_ J .-7 e____-- <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 March 2012 <br />