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ORANGE COUNTY—CONTRACT CONTROL SHEET <br />| <br /> Routing Order: (}) Department,(2)IT,(3)Risk Management,(4)Financial Services, (5)Attorney, (6)Manager,(7)Clerk <br />� <br /> This Document shall accompany all contracts and shall be submitted for signature in the Routing Order specified above. |[the Manager <br /> determines the contract ix not appropriate for Manager approval the Manager shall submit the contract for BOCCapproval. 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: Nick Fitzgerald. Party/Vendor Contact Person: Nick Fitzgerald. Contact Phone: (919) Pbl'-�482 x 241. <br /> Party/Vendor Address: 115 Pointe Place. City Hillsborough. State: NC Zip: 27278 Department: Health Amount: �00 P*pose: East <br /> Chapel Hill High School TRU Club Advisor Budget Code(s): 10412020—630000 Vendor# 58401 (N/A if new Vendor is a <br /> BOCC consultant? YesE]NoZ Contract Type: (Check one)New R Renewal E Amendment 0 Effective ate July 1,2012. <br /> If this is a Grant Agreement, pre-application has been approved by the Board of Commissioners Yes—_No f submitted for bid <br /> were bido/RFPu received ycmR l4oR. Bid/KFP number This contract has been reviewed and approved by the Department <br /> Director ustotechnical content: <br /> Department Director's Signature: Date: <br /> W eirector <br /> (Applicable onh;m6oruwm,elsoftwuro purchases or related xnr~icur)This contract has been reviewed and approved by the Information <br /> Technology Director as to technical content and information technology specifications: <br /> l3Director's Signature: Date <br /> Risk Management <br /> Include the following coverages: E] CGL; R Auto; E] WC; R Professional; El Property; El OR No Insurance Required E2/ Hold <br /> Contract pending receipt of Certificate of Insurance []. With incorporation of Insurance provisions as shown, this contract is approved <br /> by the Risk Manager: <br /> Risk Manager's Signature: 4�� 44v_. Date: I bqo <br /> Financial Services <br /> This Contract is conditioned tjpon appropriation by the Board of Commissioners YesRNoR( A budget amendment is necessary <br /> before approval Yeso Noff 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: Date: <br /> County Attorney <br /> Approval by Board R (Contracts over $25,000.00 or any BOCC consultant contract). Approval by Manager 0 (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: <br /> County Manaze <br /> This contract has been reviewed and is approved by the County Manager YesR No[]. <br /> This contract has been reviewed and is to consideration YesRNoE]. <br /> Manager's Signature: Dat <br /> Qerk to the Board <br /> Approved by Board YesF]NoE] Agend/ate: <br /> Clerk's Signatare: Date: <br />