Orange County NC Website
ORANGE CONTROL SHEET <br /> Routing Order: (\)Department,(Z) IT,(3)Risk Management,(4)Financial Services, (5)Attorney,(6)Manager,(7)Clerk <br /> This Document shall accompany all contracts and mhoU 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 /> B0CC approval must be submitted tbrough, and complete,the routing pnnccmo 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 /> Puny/VrndorNnme: Avis Barnes. Party/Vendor Contact Person: Avis Barnes. Contact Phone: (AlO)245-400Ux2\867. Party/Vendor <br /> Address: 3113 (]en|eeDdve. City Durham. State: NC Zip: 27704 Department: Health Amount: $500 Purpose: Cedar Ridge High <br /> School TRU Club Advisor BudgmCode(a): 10412020_ 630000 Vendor#523)3 (N64iy new vendor) Vendor inuBUCCconsultant? <br /> You 0 4oZ Contract Type: (Check one)New n Renewal <br /> Z Amendment El Effective Date July l,2012. <br /> If this ixa Grant Agreement, pre-application has been approved by the Board of Commissioners Yes No T[submitted for bid <br /> were bide/8Fpa received Ycwn Non. Bid/KFP number This contract has been reviewed and approved by the Department <br /> Director ontotechnical content: <br /> Department Director's Signature: Date: <br /> 4T Director <br /> (Applicable only/ohoruworo6oftworo purchases o,related services)This contract has been reviewed and approved hy the Information <br /> Technology Director as to technical content and information technology specifications: <br /> IT Director's Signature: Date: <br />� <br /> Include the following coverages: n CGL; [] Auto; n |; n Property; n OR No Insurance Required '—/ Hold <br /> Contract pending receipt of Certificate of Insurance D. With incorporation of Insurance provisions as shown, this contract is approved <br /> by the Risk Manager: <br /> Risk Manager's Signature: Date: v <br /> Financial Services <br /> � <br /> This Contract is conditioned upon appropriation by the 8nond of Commissioners `�naFll�o[��/ A budget amendment is necessary <br /> hofb,o approval YcoEl No[o. l[budget amendment is necessary, p\cuec attach to this form. This instrument has been pre-audited in the <br /> manner required 6y the Local Government Budget and Fiscal Control Act: <br /> �� � <br /> Financial Services%^beotor,mSignature: �t^�,~� D�, � <br /> Approval by Board R (Contracts over $25,000.00 or any BOCC consultant contract). Approval by Manager �6 (All contracts <br /> $25,000.00 or less with the exception of BOCC consultants). This contract has been reviewed and approved by the Attorney as to legal <br /> form and sufficiency: <br /> Attorney's Signature Date:_111912 <br /> County Manner <br /> This contract has been reviewed and is approved by the County Manager Ye on. <br /> This contract has been reviewed and is t in B CC conside�ati on YesE]N<:f <br /> Manager's Signature: 77V Date: <br /> Approved by Board Yeso NoE] Agenda,Zte: Clerk to the Board <br /> Clerk's Signature: Date: <br />