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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 /> Party/Vendor Name: David Vaninwagen Party/Vendor Contact Person: Kim Woodward Contact Phone: 919-245-6133 Party/Vendor <br /> Address: PO Box 8181 City Hillsborough State:NC Zip:27278 Department:Emergency Services Amount:N/A Purpose: To fund <br /> training time for Paramedics and to ensure that the time is returned via years of service. Budget Code(s):N/A Vendor 9 N/A (N/A if <br /> new vendor) Vendor is a BOCC consultant? Yes❑NoZ Contract Type: (Check one)New Z Renewal❑ Amendment ❑ <br /> Effective Date Approved by Board Yes❑No[D Agenda Date: Title of Contract:Paramedic Academy Training <br /> Agreement <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: <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 Eg'. Hold <br /> Contract pending receipt of Certificate of Insurance Fl. With incorporation of Insurance provisions as shown, this contract is approved <br /> by the Risk Manager: <br /> Risk Manager's Signature: A A, Date: <br /> Financial Services <br /> This Contract is conditioned upon appropriation by the Board of Commissioners Yes❑No[D. A budget amendment is necessary <br /> before approval Yes❑NoZ. 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: UA,4� A 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 0(Most other contracts$1,000 and above). Department Director approval only❑(Under <br /> $1,000). This contract has been revie ed and a 7roved by the Attorney as to legal form and sufficiency: <br /> Attorney's Signature Date: <br /> County Manager <br /> This contract has been reviewed and is approved by the County Manager YesET,&o❑. <br /> This contract has been reviewed and is for signature by the Chair Yes❑No[D. <br /> Manager's Signature: /Iz--2 Date: <br /> tJerk to the Board <br /> Approved by BOCC on the_day of 20 . Submitted for Chair signature on the day of 120 <br /> Clerk's Signature: Date: <br /> Revised March 2012 <br />