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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: Evelyn DeLoatch. Party/Vendor Contact Person: Evelyn DeLoatch. Contact Phone: 919-732-6133 ext. 20604. <br /> Party/Vendor Address: 8315 McKee Road. City Rougemont. State: NC Zip: 27572 Department: Health Amount: $500 Purpose: <br /> Orange High School TRU Club Advisor Budget Code(s): 10412020_630000 Vendor # (N/A if new vendor) Vendor is a <br /> BOCC consultant? Yes ❑No® Contract Type: (Check one)New® Renewal ❑ Amendment ❑ Effective Date July 1,2012. <br /> If this is a Grant Agreement, pre-application has been approved by the Board of Commissioners Yes No . If submitted for bid <br /> were bids/RFP- received Yes❑ No❑. Bid/RFP number This contract has been reviewed and approved by the Department <br /> Director as to technical content: <br /> F7 <br /> Department Director's Signature: _ / Date: <br /> It Director <br /> (Applicable only to hardware/software purchases or related services)This contract has been reviewed and approved by the Information <br /> Technology Director as to technical content and information technology specifications: <br /> IT Director's Signature: Date: <br /> Risk Management �f <br /> Include the following coverages: E] CGL; ❑ Auto; ❑ WC; ❑ Professional; El Property; ❑ OR No Insurance Required E 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: n f <br /> Risk Manager's Signature: v�� A kt� Date: 61 It D113 <br /> Financial Services <br /> This Contract is conditioned on appropriation by the Board of Commissioners Yes❑No[V]� 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: `�1w A yC�"� Date: I holl ? <br /> County Attorney <br /> Approval by Board ❑ (Contracts over $25,000.00 or any BOCC consultant contract). Approval by Manager X (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: j <br /> County Manager <br /> This contract has been reviewed and is approved by the County Manager YesO-N`50. <br /> This contract has been reviewed and is-- e s mitted or CC consideration Yes❑NoU. <br /> Manager's Signature: Date <br /> Clerk to the Board <br /> Approved by Board Yes❑No❑ Agenda Date: <br /> Clerk's Signature: Date: <br />