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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: State Library of NC Party/Vendor Contact Person: Raye Oldham Contact Phone:919-807-7400 Party/Vendor <br /> Address: 109 East Jones Street City Raleigh State:NC Zip:27601 Department: Library Amount: $15,0 10 Purpose: LSTA Grant <br /> award to work on the Strategic Planning Grant Budget Code(s): Vendor# (N/A if new vendor) Vendor is a BOCC <br /> consultant? Yes❑No® Contract Type: (Check one)New® Renewal ❑ Amendment ❑ Effective Date Approved by <br /> Board Yes❑No® 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 Si ature: e: <br /> IT Director <br /> (Applicable only to hardware/softwa purchases or related services)This contract has been reviewed and approved by the Information <br /> Technology Director as to technical content a formation technology specifications: l <br /> IT Director's Signature: Date: <br /> Risk Management <br /> Include the following coverages: ❑ C L; ❑ Auto; ❑ WC; ❑ Professional; ❑ Property; OR No Insurance Required [� Hold <br /> Contract pending receipt of Certificate o Insurance ❑. With incorporation of Insurance provisions as shown,this contract is approved <br /> by the Risk Manager: <br /> Risk Manager's Signature: �'"` . Ah Date: 12 Z4 1,7— <br /> Financial Services <br /> This Contract is conditioned on appropriation by the Board of Commissioners Yes❑NoEr A budget amendment is necessary <br /> before approval Yes❑No[ . 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 Co trol Act- <br /> Financial Services Director's Signature: ob" ✓9' a� Date: 17, �-- <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[�(Most other contracts$1,000 and above). Department Director approval only❑ (Under <br /> $1,000). This contract has evi d and approved by the Attorney as to legal form and sufficTs ,c <br /> Attorney's Signature Date: <br /> County Manager <br /> This contract has been reviewed and is approved by the County Manager Yes[]No❑. <br /> This contract has been reviewed and is for sign y ,chair Yes❑No� <br /> F / <br /> Manager's Signature: Date: ( �- qy <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 />