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eta -3y5 <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 /> Parry/Vendor Name: North Carolina State University,Industrial Extension Service Party/Vendor Contact Person: Mitch Poteat Contact <br /> Phone: 919-515-5430 Party/Vendor Address:NC State University Box 7902 City Raleigh State:NC Zip:27695 Department: <br /> Health/Environmental Amount: $1,370 Purpose: Process Development Facilitation Budget Code(s):40+19-6 fr Vendor# (N/A if <br /> new vendor) Vendor is a BOCC consultant? Yes❑No® Contract Type: (Check one)New® Renewal ❑ Amendment <br /> Effective Date August 15,2012 Approved by Board Yes❑No® Agenda Date: Title of Contract: <br /> If this is a Grant Agreement, pre-application has been approved by the Board of Commissioners Yos❑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: e/ <br /> Department Director's Signature: l Date: d ' �- <br /> I 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 Manazement <br /> Include the following coverages: ❑ CGL; ❑ Auto; ❑ WC; ❑ Professional; ❑ Property; q <br /> ❑ OR No Insurance Required t Hold <br /> Contract pending receipt of Certificate of Insurance ❑. With incorporation of Insurance provisions as shown. this contract i approved <br /> by the Risk Manager: <br /> Risk Manager's Signature: Date: Z <br /> Financial Services <br /> This Contract is conditioned upon 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 Bud eett_and Fiscal Control ct: aL <br /> Financial Services Director's Signature: �'' t Date: u (y <br /> County Attorney <br /> Approval by Board ❑ (Contracts over $90,000.00 for goods or services, $250,000.00 for co tstruction, or any BOCC consultant <br /> contract). Approval by Manager (All other contracts). This contract has bee reviewed and approved by the Attorney as to legal <br /> form and sufficiency: i vy b to l eaA4, J�11r' -f- <br /> ;�t <br /> Attorney's Signature Date: " Io <br /> -4- k <br /> County Manager 1 <br /> This contract has been reviewed and is approved by the County Manager Yes F_-J'No❑ <br /> This contract has been reviewed and is to be s im— onsi deration YesE�P Oz Manager's Signature: Date: <br /> Clerk to the Board l <br /> Approved by BOCC on the_day of --,20--. Submitted for Chair signature on tl[e___day of_ ,20_.____ <br /> Clerk's Signature: _ _ Date:____ <br /> Revised April 2010 <br />