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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: Brian Ferrell Party/Vendor Contact Person: Ferrell Firm Contact Phone:919-883-4960 Party/Vendor Address: <br /> P.O.Box 16564 City Chapel Hill State:NC Zip:27516 Department:Planning&Inspections Amount:$265.00/hour Purpose:Legal <br /> Representation Budget Code(s): 10620020-630000 Vendor#59251 (N/A if new vendor) Vendor is a BOCC consultant? Yes❑No <br /> ® Contract Type:(Check one)New® Renewal❑ Amendment ❑ Effective Date 11/12/12 Approved by Board Yes❑Nog <br /> Agenda Date: Title of Contract: <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❑Non Bid/RFP number This contract has been reviewed and approved by the Department Director as to <br /> technical content: <br /> t <br /> Department Director's Signature- <br /> Date: Z <br /> IT Director <br /> (Applicable only to hardwardsoftware 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 Management <br /> Include the following coverages: ❑ CGL; ❑ Auto; ❑ WC; ❑ Professional; ❑ Property; OR No Insurance Required d 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 /> Risk Manager's Signature:' ✓ i ! Date: <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❑NoM. 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 Conti 1 Act: <br /> Financial Services Director's S i g n a t u r e: �� cr ✓ l Date: 1 '2 L <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 Managct ("ost other contracts$1,000 and above). Department Director approval only❑(Under <br /> $1,000). This contract has been r iewed a roved y the Attorney as to legal form and sufficiency: <br /> Attorney's Signature Date: <br /> County Manaeer <br /> This contract has been reviewed and is approved by the County Manager Ye�o� <br /> This contract has been reviewed and is for signature by the ' Yes❑No� <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 March 2012 <br />