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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: NC Dept. of Agriculture and Consumer Services(NCDA&CS) Party/Vendor Contact Person: David B.Williams <br /> Contact Phone: 919-715-6303 Party/Vendor Address:Div. of Soil&Water Conservation, 1614 Mail Service Center City Raleigh State: <br /> NC Zip: 27699-1614 Department:DEAPR-S&W Division Amount:Receiving Grant Funds in the amount of $56,950.00 Purpose: <br /> District Matching Funds&Cost Share Technical Assistance Funds for Orange County Soil&Water Conservation District Operations <br /> Budget Code(s):N/A Vendor#N/A (N/A if new vendor) Vendor is a BOCC consultant? Yes❑No❑ Contract Type: (Check one) <br /> New❑ Renewal❑ Amendment ❑ Effective Date Approved by Board YesX No❑ Agenda Date:;4/j,14tle of <br /> 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: 12 5 2 <br /> IT Director <br /> (Applicabl only to hardware/software purchases or related services)This contract has been reviewed and approved by the Information <br /> chnol gy Director as to technical content and information technology specifications: <br /> I; rtor's Signature: Date: <br /> Risk Management <br /> Include the following coverages: ❑ CGL; ❑ Auto; ❑ WC; ❑ Professional; ❑ Property; ❑ OR No Insurance Required [J. Hold <br /> Contract pending receipt of Certificate of Insurance E]. With incorporation of Insurance provisions as shown, this contract is approved <br /> by the Risk Manager: I <br /> Risk Manager's Signature: u �"k'' Date: ►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[g.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 BuJdg j and Fiscal Con I Act: <br /> Financial Services Director's Signature: y ''" Date: C ray Z <br /> County Attorney <br /> Approv,' 'iy Board Z (Contracts over $90,000.00 for goods or services, $250,000.00 for construction, or any BOCC consultant <br /> c utra( Approval by Manager ❑ (All other contracts). This contract has been reviewed and approved by the Attorney as to legal <br /> ft sufficiency: <br /> At' /I�Ssignature Date: Aehs / z <br /> County Manager <br /> ,s contact has been reviewed and is approved by the County Manager Ye No . <br /> t. or A has been reviewed and is to submitted r B C consideration Yes❑ o❑. <br /> Man -Signature: Date: <br /> Clift to the Board <br /> A,,,coved 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 />