2012-384 S EDC - Town of Chapel Hill Interlocal Agreement in Support of Business Incubator $140,000

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C =Q_ ORANGE COUNTY-CONTRACT CONTROL SHEET Routing Order: (1)Department,(2)IT,(3)Risk Management,(4)Financial Services,(5)Attorney,(6)Manager,(7)Clerk This Document shall accompany all contracts and shall be submitted for signature in the Routing Order specified above. If the Manager determines the contract is not appropriate for Manager approval the Manager shall submit the contract for BOCC approval. Contracts for BOCC approval must be submitted through,and complete,the routing process prior to agenda review. Contracts for legal review should be completed through the legal review process prior to being routed for signature. Department Party/Vendor Name: Town of Cha Hill Party/Vendor Contact Person: Roger Stancil Contact Phone:968-2743 Party/Vendor Address:405 MLK Jr.Blvd City Cha I Hill State:NC Zip:27514 Department:Economic Development Amount:$140,000 Purpose: Interlocal A rg, eement Budget Code(s): Vendor# (NIA if new vendor) Vendor is a BOCC consultant? Yes❑No❑ Contract Type:(Check one)New® Renewal❑ Amendment ❑ Effective Date 10/1/12 Approved by Board Yes®No❑ Agenda Date:8/21/12 Title of Contract:Interlocal Agreement with Town of Chapel Hill in Support of Business Incubator If this is a Grant Agreement,pre-application has been approved by the Board of Commissioners Yes❑No❑. If submitted for bid were bids/RFPs received Yes❑Non Bid/RFP number This contract has been reviewed and approved by the Department Director as to technical content: Department Director's Signature: Date: IT Direc r (Applicable only to hardwarelsoftware purchases or related services)This contract has been reviewed and approved by the Information Technology Director as to technical content and information technology specifications: IT Director's Signature: Date: Risk Management Include the following coverages: ❑ CGL; ❑ Auto; ❑ WC; ❑ Professional; ❑ Property; OR No Insurance Required 6� Hold Contract pending receipt of Certificate of Insurance ❑. With incorporation of Insurance provisions as shown,this contract is approved by the Risk Manager: t, Risk Manager's Signature: � '�'�-� Date: lP Financial Services This Contract is conditioned pan appropriation by the Board of Commissioners Yes❑Nog. A budget amendment is necessary before approval Yes❑NoV. If budget amendment is necessary,please attach to this form. This instrument has been pre-audited in the manner required by the Local Government Bud et and Fiscal Control Act: Financial Services Director's Signature: Dater l County Attorney Approval by Board ❑ (Contracts $90,000.00 r more for goods or services, $250,000.00 or more for construction, or any BOCC consultant contract). Approval by Manager ( ost other contracts$1,000 and above). Department Director approval only❑(Under $1,000). This contract has been revievod an pro ed y the Attorney as to legal form and sufficiency: ^� Attorney's Signature Date: County Manazer This contract has been reviewed and is approved by the County Manager Yes T Non. This contract has been reviewed and is for signature by the Chair Yes❑No:r Manager's Signature: f Date: j�)_ /� Clerk to the Board Approved by BOCC on the—day of ,20 Submitted for Chair signature on the_day of ,20 Clerk's Signature: Date: Revised March 2012