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ORANGE COUNTY—CONTRACT CONTROL SHEET <br /> Routing Order: (|)Department,(2) IT,(3)Risk Management,(4)Financial Services,(5)Atumcy,(6)Manager, (7)Clerk <br /> This Document nbu|i accompany all onotmcta and shall be submitted for signature in the Routing Order specified above. If the Manager <br /> deten-nines the contract is not appropriate for Manager approval the Manager shall submit the contract 6xBOCCoppnwu|. Contracts for <br /> 80CC approval must be submitted through, and complete,the routing process prior/o ugenduo:vi'-,*. Contracts for|eAu|,cvic*obnu|d <br /> be completed through the legal review process prior to being routed for signature. <br /> Department <br /> Party/Vondory4une: David A. Smith Party/Vendor Contact Person: David A. Smith Contact Phone:9l949}-1534 Party/Vendor <br /> Address: P.O. Box 51597 City Durham State:NC Zip:27717-1597 Department: Tax Amount: 3,000 Purpose: Appraisal o <br /> BudgetCode(u): Vendor if Vendor <br /> iuu80C[consultant? Y NoZ Contract Type: (Check one)New Z Renewal Amendment F] Effective Date U8/i7/12 <br /> Approved by Board YcaF1 NnZ Agenda Date: of Contract: <br /> If this ixa Grant Agreement, pre-application has been approved 6y the Board nf Commissioners./',-m[]Y4uZ. If submitted for bid were <br /> bidn/RPPm received YemFY4nF Bid/QFP number This contract huxbeenrevievvodundupprnvcd6ythcDupartmcotDirectoram/o <br /> technical content: <br /> Department Director's Shgnatunc� Date: � | <br /> IT Director <br />| <br /> (Applicable only to hardwarelsoftware purchases or related services)This contract has been review�d and approved by the information <br /> Technology Director uoto technical content and information technology specifications: <br /> IT Director's Signature: Date: <br /> Include the following coverages: Risk Management Id Hold <br /> I CGL; [] Auto; n WC; 0 Professional; F] Property; OR No Insurance Required <br /> Contract pending receipt of Certificate of Insurance F-1. With incorporation of Insurance provisio is as shown, this contract is approved <br /> by the Risk Manager: <br /> Risk Manager's Signature: Date: <br /> Financial Services <br /> This Contract is condn' d a propriation by the Board of Commissioners YesE]Nod A budget amendment is necessary <br /> before approval YesE] No If b dget amendment is necessary, please attach to this form. This instrument has been pre-audited in the <br /> manner required by the Local Government Budget nd Fiscal Cont I ct- <br /> Financial Services Director's Signature: yg�e,� r� Date: ?4, <br /> County Attorney <br /> Approval by Board n (Contracts $90,00q.90 or more for goods or set-vices, $250,000.00 or riore for construction, or any BOCC <br /> consultant contract). Approvafk Manker (Most other contracts$1,000 and above). Department Director approval only (Under <br /> $1,000). This contract has b n ie d ;�pproved by the Attorney as to legal form and suffic <br /> Attorney's Signature Date: <br /> County Manne <br /> This contract has been reviewed and is approved by the County Manager Yell'Noo. <br /> This contract has been reviewed and is for signature by the Chair YesDNo2- <br /> Manager's Signature: ol-) Date: <br /> rtoClerk 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 />