Orange County NC Website
ORANGE COUNTY—CONTRACT CONTROL SHEET <br /> Routing Orde : (l)Department,(2) )T, (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. |y the Manager <br /> determines the contract is not appropriate for Manager approval the Manager shall submit the contract for 8OCCapproval. 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: Linda Karcher. Party/Vendor Contact Person: Linda Karcher. Contact Phone: 919'018-2200 cxt 25034. <br /> Porty/Voudor &ddruoo: 95 Carson CL City Pittu6oro. State: NC Zip: 27312 Department: Health Amount: $500 Purpose: Cunb000 <br /> High School TR0 C|n6 Advisor Budget Code(s): 10412020 630000 Vendor 57568 (NA\ if new vendor) Vendor is o BOCC <br /> consultant? yeaFl/�o�� ContmctType: (Check one)No.w �� Renewal Amendment El Effective Date July ],2O|2. <br /> If this is a(]runt Agreement, pre-application has been approved by the Board of Commissioners Yes No . If submitted forbid <br /> were hidy/RFPm received Year_� NoF1 8id/RPP number This contract has been reviewed and approved by the Department <br /> Director uototechnical content: <br /> Department Director's Signature: Xj/,__ Date: <br /> It Directore�' <br /> (Applicable only to hardwarelsoftware purchases or related services)This contract has been reviewed and approved by the Information <br />� <br /> Technology Director as to technical content and information technology specifications: <br />/ <br /> IT Director's Signature: Date: <br /> Risk Management <br /> Include the following coverages: F-1 CGL; M Auto; M VC; F-1 Professional; E] Property; E] OR No Insurance Required D Hold <br /> Contrucpendingmoeipto[CcrdOcmoof|naunmcoE]. With incorporation of Insurance provisions as shown, this contract is approved <br /> by the Risk Manager: <br /> Risk Manager's Signature: Date: <br /> Financial Services <br /> This Contract is conditioned Won appropriation by the Board of Commissioners YesoNo&." A budget amendment is necessary <br /> before approval YesEl Nog. 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: Ua4,-� A 4,4_ Date: 4—a <br /> County AttorneV <br /> Approval by Board n (Contracts over $25,000.00 or any BOCC consultant contract). Approval by Manager [Y(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 �S_" Date: <br /> County Manner <br /> This contract has been reviewed and is approved by the County Manager Y <br /> OR <br /> This contract has been reviewed and i s7si C consideration YesF2KO� <br /> Manager's Signature: Dat/— <br /> Clerk to the Board <br /> Approved by Board Yes[]NoM Agenda Date: <br /> Clerk's Signature: Date:--,— <br />