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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: The Historic Hillsborough Commission PartyNendor Contact Person: Rebecca K.Ryan Contact Phone:(919) <br /> 732-7451 Party/Vendor Address:319 North Churton Street,PO Box 922 City Hillsborough State:NC Zip:27278 Department:Outside <br /> Agency Amount:$7,000 Purpose:Outside Agency Budget Code(s): 10519550-710005 Vendor# 19187 (N/A if new vendor) <br /> Vendor is a BOCC consultant? Yes❑No Contract Type:(Check one)New® Renewal❑ Amendment ❑ Effective Date <br /> 07/01/2012 Approved by Board Yes®No❑ Agenda Date:06/19/2012 Title of Contract:2012-13 Outside Agency Performance <br /> Agreement <br /> If this is a Grant Agreement,pre-application has been al). iv- by the Board of Commissioners Yes❑No❑. If submitted for bid were <br /> bids/RFPs received Yes❑No❑ Bid/RFP number ��� ', contract has been reviewed and approved by the Department Director as to <br /> technical content: <br /> (" <br /> Department Director's Signature. `��'� J _ Date: C`� L <br /> V IR <br /> IT D •ctor <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 Management <br /> Include the following coverages: [�CGL; [V"Auto; [ "WC; [Professional; ❑ Property; ❑ OR No Insurance Required D. Hold <br /> Contract pending receipt of Certificate of Insurance [J With incorporation of Insurance provisions as shown,this contract is approved <br /> by the Risk Manager: <br /> Risk Manager's Signature: 0144-AA, ./1 414-e_ Date: 1/LL'i 2. <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 Act: <br /> Financial Services Director's Signature: ( i -- 2%<_.— Date: 7/2 /!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 Man.;er • (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:1 'Z� 19-- <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 submi -44 or :OC c• sideration Yea No❑. <br /> Manager's Signature: ( / Date: 7- -1 <br /> Clerk o 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 />