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(-)L- -E <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: Shacktacular Concessions Party/Vendor Contact Person: Howard Blough Contact Phone: 336-350-0658 <br /> PartyNendor Address: 1402 Faye Street City Efland State:NC Zip: 27243 Department:Economic Development Amount:NA <br /> Purpose:User services agreement Budget Code(s):NA Vendor# (N/A if new vendor) Vendor is a BOCC consultant? Yes El <br /> No❑ Contract Type:(Check one)New® Renewal❑ Amendment El Effective Date 06/20/12 Approved by Board Yes❑No <br /> Agenda Date: Title of Contract:PFAP/Shacktacular Concessions <br /> If this is a Grant Agreement,pre-application has been approved by the Board of Commissioners Yes❑No❑. 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: <br /> p <br /> Department Director's Signature: 1 ', , 11101■ a ,. it. Date: 7 — S-'1 Z <br /> IT Director <br /> (Applicable only to hardware/software purchases or related services)This co act 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: [gCGL; El Auto; ❑ WC; ❑ Professional; 2 Property; OR No Insurance Required D. Hold <br /> Contract pending receipt of Certificate of Insurance Ell With incorporation of Insurance provisions as shown,this contract is approved <br /> by the Risk Manager: J�� �/ <br /> Risk Manager's Signature: CA-4r'c./ f ✓� 4 Date: if t 4/L- <br /> -7. -. '711:; <br /> Financial Services <br /> This Contract is conditioned pon appropriation by the Board of Commissioners Yes❑No A budget amendment is necessary <br /> before approval YesEl NoL If budget amendment is necessary,please attach to this form. his 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: (aAAA.sS. �/s.---, Date: A,6 l(2 <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[ (Most other contracts$1,000 and above). Department Director approval only El (Under <br /> $1,000). This contract has be-if eviewed and approved by the Attorney as to legal form and sufficiency: <br /> i n <br /> Attorney's Signature • Date: 1//8/i 2, <br /> Ci <br /> County Manager <br /> This contract has been reviewed and is approved by the County Manager Yes2t5OE. <br /> This contract has been reviewed and is for signature by the Sr•it Yes0No21'.- <br /> T-/A0 0 I 144 v <br /> Manager's Signature: -Date: 7 <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 />