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a1a_� 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: Jennings Party/Vendor Contact Person: Paige Zinri,Principal Contact Phone: 0 Party/Vendor Address: 104-A <br /> North Elliott Road City Chapel Hill State:NC Zip:27514 Department:Health Amount: $19,750 Purpose:Rebranding Campaigns <br /> Budget Code(s):61370035 789902 30012 Vendor#N/A (N/A if new vendor) Vendor is a BOCC consultant? Yes❑No® <br /> Contract Type: (Check one)New® Renewal❑ Amendment ❑ Effective Date October 8,2012 Approved by Board Yes❑No❑ <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❑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: Date: <br /> IT 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 Management <br /> Include the following coverages: CGL; [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: <br /> Risk Manager's Signature: 'L y`' Date: 11 1 //_Z- <br /> Financial Services <br /> This Contract is conditioned on appropriation by the Board of Commissioners Yes❑No j A budget amendment is necessary <br /> before approval Yes❑NoYIf 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 d Fiscal Control Act: <br /> � 2 <br /> Financial Services Director's Signature: ' '" " " 1 Date: 1 1 <br /> County Attorney <br /> Approval by Board ❑ (Contracts $90,00 00 or more for goods or services, $250,000.00 or more for construction, or any BOCC <br /> consultant contract). Approval by Manager(Most other contracts$1,000 and above). Department Director approval only❑ (Under <br /> $1,000). This contract has b e r viewe approved by the Attorney as to legal form and sufficiency: <br /> Attorney's Signature Date: 1l !3 <br /> County Manazer <br /> This contract has been reviewed and is approved by the County Manager YeaffalloFl. <br /> This contract has been reviewed and is for signature by t hair Yes❑No <br /> Manager's Signature: Date: <br /> lor/k 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 />