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3! -- <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 /> Party/Vendor Name: David Welch Party/Vendor Contact Person: David Welch Contact Phone: 919-929-8391 PartyNendor Address: <br /> 20 East Drive City Chapel Hill State:NC Zip:27516 Department: DEAPR Amount: $2,200 Purpose in tlotllle ., o <br /> 'Work foripteiJuusiy'executed k t .udget Code(s): 10610020 630000 Vendor# (N/A if new vendor) Vendor is a BOCC <br /> consultant? Yes ❑No Contract Type: (Check one)New❑ Renewal❑ Amendment ® Effective Date June 1,2012 Approved <br /> by Board Yes❑No Agenda Date: Title of Contract:Data Collection and.Analysis for Orange County Comprehensive <br /> Parks and Recreation Master Plan <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 /> Department Director's Signature: (0 Date: 7,12) )'Z <br /> IT Director <br /> (Applicable only to hardxw• • oftware purchases or related services)This contract has been reviewed and approved by the Information <br /> Technology ctor as to tech ical content and•• •rma on technology specifica '• • <br /> I irector's Signature: D. e: <br /> Risk Management <br /> Include the following coverages: ❑ CGL; ❑ Auto; ❑ WC; ❑ Professional; ❑ 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: 016t4...... <br /> z J 14 Date: ri f z4,t- <br /> 'i l►i!Iz <br /> Financial Services <br /> This Contract is conditionecivpon appropriation by the Board of Commissioners Yes❑NoLM. A budget amendment is necessary <br /> before approval Yes❑ NoIU. 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: eL,a"4-c--' . /y''r Date: 7/Z6 ft <br /> Z <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 IS,(All other contracts). This contract has been reviewed and approved by the Attorney as to legal <br /> form and sufficiency: <br /> Attorney's Signature Date: 7/.17//.2 <br /> County Manager <br /> This contract has been reviewed and is approved by the County Manager Yes No❑. <br /> This contract has been reviewed and is to be submitted for BOCC consideration Yes0No1=1. <br /> Manager's Signature: / / Date: <br /> 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 April 2010 <br />