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,=.Q0 A=q— <br /> V� <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 Literacy Council Party/Vendor Contact Person: Alice Denson Contact Phone:919-636-4457 <br /> Party/Vendor Address:200 N.Greensboro Street City Carrboro State:NC Zip:27609 Department:Outside Agency Amount: $12,000 <br /> Purpose:Outside Agency Budget Code(s): 10495050-710024 Vendor#800013 (N/A if new vendor) Vendor is a BOCC consultant? <br /> Yes❑No® Contract Type:(Check one)New® Renewal❑ Amendment ❑ Effective Date 07/01/2012 Approved by Board Yes <br /> ®No❑ Agenda Date: 06/19/2012 Title of Contract:2012-13 OutsideAgencz Performance Agreement <br /> If this is a Grant Agreement,pre-application has been approved y the ar of ommissio es❑No❑. If submitted for bid were <br /> bids/RFPs received Yes❑No❑ Bid/RFP number Thi ontra has en r ed and approved by the Department Director as to <br /> technical content: <br /> Department Director's Signature: Date: 10 2,.7,12__ <br /> IT D for <br /> (Applicable only to hardware/software purchase r related ices) is contract has been reviewed and approved by the Information <br /> Technology Director as to technical content and in on technology specifications: <br /> IT Director's Signature: Date: <br /> Risk Mnna ement <br /> Include the following coverages: CGL; [v(Auto�WC; Professional; ❑ Property; E] OR No Insurance Required [:1. 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 /> 1 <br /> Risk Manager's Signature: 1t/� tt/ ! ', Date: Z L <br /> Financial Services <br /> This Contract is conditioned on 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 Budget and Fiscal Control Act: <br /> R n <br /> Financial Services Director's Signature: C.�l a�G'" /i> Date: I I Z <br /> County Attorney <br /> Approval by Board (Contracts over $90,000.00 for goods or services, $250,000.00 for construction, or any BOCC consultant <br /> contract). Approval by Mana r ❑ (All other contracts). This contract has been reviewed and approved by the Attorney as to legal <br /> form and sufficiency: <br /> Attorney's Signature Date: <br /> County Manager <br /> This contract has been reviewed and is approved by the County Manager Yes❑'&o❑ <br /> This contract has been reviewed and is to be submitted for BOCC consider ion YeSON00— <br /> Manager's Signature: Date: <br /> Clerk to 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 April 2010 <br />