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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: J.Beau Bennett LLC Party/Vendor Contact Person: Beau Bennett Contact Phone:919-818-6173 Party/Vendor <br /> Address: 1100 Palmers Grove Church Road City Hillsborouch State:NC Zip:27278 Department:Economic Development Amount: <br /> NA Purpose:Use of PFAP Budget Code(s): Vendor#NIA (N_/_A_if new vendor) Vendor is a BOCC consultant? Yes❑No® <br /> Contract Type:(Check one)New® Renewal❑ Amendment ❑ Effective Date 9110112 Approved by Board Yes❑No® <br /> Agenda Date: Title of Contract:User Services-User of PFAP commercial kitchen facility. <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: 6,449 Date: /0 <br /> IT Director <br /> (Applicable only to hardwarelsoftware 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 /> 'sk Ma e_e ment <br /> Include the following coverages: dCGL; [Auto; WC; Professional; ❑ Property; OR No Insurance Required ❑. 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: oL v�44 4 <br /> Risk Manager's Signature: r"U A , Ny. Date: L <br /> Financial Services <br /> This Contract is conditioned pon appropriation by the Board of Commissioners Yes❑No[� A budget amendment is necessary <br /> before approval Yes❑No[1/"�. 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: t G,.f A1,4_ 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 a(Most other contracts$1,000 and above). Department Director approval only❑(Under <br /> $1,000). This contract has been viewed d approved 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 YeO No❑. <br /> This contract has been reviewed and is for sign a a by e it Yes❑Nc� / <br /> Manager's Signature: Date: / o� - <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 March 2012 <br />