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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: Diane Daniel Party/Vendor Contact Person: Diane Daniel Contact Phone: 919-286-9293 Party/Vendor Address: <br /> 1221 Clarendon City Durham State:NC Zip:27705 Department: Visitors Bureau Amount:2000.00 Purpose:Agritourism Brochure <br /> Budget Code(s): 37600520-685006 Vendor# (N/A if new vendor) Vendor is a BOCC consultant? Yes❑No® Contract <br /> Type: (Check one)New® Renewal❑ Amendment ❑ Effective Date 12/10/12 Approved by Board Yes❑No❑ Agenda Date: <br /> Title of Contract: <br /> If this is a Grant Agreement,pre-application h been owed by the Board of Commissioners Yes❑No❑. If submitted for bid were <br /> bids/RFPs received Yes❑No❑ Bid/RFP n er his contract has been reviewed and approved by the Department Director as to <br /> technical content: l <br /> Department Director's Signatur : Date: a l <br /> IT Director <br /> (Applicable only to hardware/software purchases o elated services)This contract has been reviewed and approved by the Information <br /> Technology Director as to technical content and inf rmation 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 Z 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: a"t" ' Date: l uI,Z <br /> Financial Services <br /> This Contract is conditioned pon appropriation by the Board of Commissioners Yes❑Nod 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 Control Act: <br /> Financial Services Director's Signature: q h. Date: 12,(Zi 1 v <br /> County Attorney <br /> Approval by Board ❑ (Contracts $90,000.00 for goods or services, $250,000.00 for construction, or any BOCC consultant <br /> contract). Approval by Manager KLl (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: / <20 /z <br /> County Manager <br /> This contract has been reviewed and is app ve by t ounty Manager Yes o❑. <br /> This contract has been reviewed and is or OCC consideration Yes❑No[�� <br /> Manager's Signature: Date: <br /> Clerk to the Board <br /> Approved by BOCC on the_day of Submitted for Chair signature on the_day of ,20 <br /> Clerk's Signature: Date: <br /> Revised April 2010 <br />