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-=:?0 i3-C e7 <br /> 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: James Wise. Party/Vendor Contact Person: James Wise. Contact Phone: (919) 929 106. 270. Party/Vendor <br /> Address: 2324 Woodbury Drive. City Hillsborough. State: NC Zip: 27278 Department: Health Amou t: $5 Purpose: Chapel Hill <br /> High School TRU Club Advisor Budget Code(s): 10412020_630000 Vendor # 57567 (N/A if new e or) Vendor is a BOCC <br /> consultant? Yes ❑No® Contract Type: (Check one)New ❑ Renewal ® Amendment ❑ Effective ate 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/RFPs received Yes❑ No❑. Bid/RFP number This contract has been reviewed and approved by the Department <br /> Director as to technical content: <br /> c <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 <br /> Include the following coverages: ❑ CGL; ❑ Auto; ❑ WC; ❑ Professional; ❑ Property; ❑ OR No Insurance Required 21. 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: �W"�"'^' CJ. Am— Date: I p/ 13 <br /> Financial Services <br /> This Contract is conditioned on appropriation by the Board of Commissioners Yes❑Nos A budget amendment is necessary <br /> ❑ <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 Control Act: ff�� <br /> Financial Services Director's Signature: �w A ✓/�— Date: 4444 <br /> County Attorney <br /> Approval by Board ❑ (Contracts over $25,000.00 or any BOCC consultant contract). Approval by Manager Y (All contracts <br /> $25,000.00 or less with the ex eption 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: �3 <br /> County Manager � <br /> This contract has been reviewed and is approved by the County Manager Ye%jE_='No❑ <br /> This contract has been reviewed and is to bmit e f B CC consideration Yes❑Nqj' <br /> Manager's Signature: Date: <br /> Clerk to the Board <br /> Approved by Board Yes❑No❑ Agenda Date: <br /> Clerk's Signature: Date: <br />