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q-'-p <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: Orange County Schools Party/Vendor Contact Person: Lisa Napp Con ct Pho :9919-732-8126 Party/Vendor <br /> Address:200 E King St City Hillsborough State:NC Zip:27278 Department: DSS Amou :N u se: school social worker <br /> Budget Code(s): Vendor# <br /> — (N/A if new vendor) Vendor is a BOCC consultain . No❑ Contract Type: (Check <br /> one)New❑ Renewal E Amendment ❑ Effective Date 07/01/12 Approved by Board YesE No❑ Agenda Date: Title <br /> of Contract:Agreement between the Orange County Schools and Orange Counly,North Carolina <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: Date: 7 <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 Management <br /> Include the following coverages: ❑ CGL; ❑ Auto; ❑ WC; ❑ Professional; ❑ Property; OR No Insurance Require R� 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: cfo G _" Date:- 913112. <br /> Financial Services <br /> This Contract is conditioned jdpon appropriation by the Board of Commissioners Yes❑Nold A budget amendment is necessary <br /> before approval Yes❑No g.. 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: Date: <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 ❑ (Under <br /> $1,000). This contract has been reviewed and apprgygdjjy the Attorney as to legal form and sufficiency: <br /> Attorney's Signature Date: <br /> County Manner <br /> This contract has been reviewed and is approved by the County Manager Yes <br /> KNoEJ. <br /> This contract has been reviewed and is for signature by the Chair Yexl-,o❑. <br /> Z, <br /> Manager's Signature: Date:4&a_ <br /> -""Clerto 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 />