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o?O ti3-�8 <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: Assitance Travel&Transport Party/Vendor Contact Person: Kenneth Williams Contact Phone:919-489-5050 <br /> Party/Vendor Address: 3710 University Drive suite 240 City Durham State:NC Zip:27707 Department: DSS Amount: $35,000 <br /> Purpose:provide transportation to clients identified by the county Budget Code(s): 10403020-633000 Vendor# (N/A if new <br /> vendor) Vendor is a BOCC consultant? Yes ❑No[] Contract Type: (Check one)New® Renewal ❑ Amendment ❑ Effective y <br /> Date 04/01/13 Approved by Board Yes❑No❑ Agenda Date: Title of Contract: Assistance Travel&Transport <br /> If this is a Grant Agreement,pre-application has been approved by the Board of Commissioners Yes❑No❑. If submitted for bid were <br /> bids/RFPs received Yes❑No❑ Bid/RFP number This contract has been reviewed and approved by the Department Director as to <br /> technical content: <br /> Department Director's Signature: Date: Od'Oy-13 <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: [V1 CGL; [I Auto; [2-WC; [Z Professional; ❑ Property; OR No Insurance Re uq ired ❑. 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: 0441 Al/_ Date: 4-4 13 <br /> Financial Services <br /> This Contract is conditioned pon appropriation by the Board of Commissioners Yes❑NoW. A budget amendment is necessary <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: <br /> Financial Services Director's Signature: Date: �4 <br /> County Attorney <br /> Approval by Board ❑ (Contracts $90,000.00 or more for goods or services, $250,000.00 or more for construction, or any BOCC <br /> consultant contract). Approval by Manager, (Most other contracts$1,000 and above). Department Director approval only ❑ (Under <br /> $1,000). This contract has a evi e d approved by the Attorney as to legal form and suffic' ncy: <br /> x <br /> Attorney's Signature Date: <br /> County Manager a <br /> This contract has been reviewed and is approved by the County Manager Yes No❑. <br /> This contract has been reviewed and is for signature t e Chair Yes❑No <br /> Managers Signature: Date: <br /> Clerk to the Board <br /> Approved by BOCC on the_day of ,20 . Submitted for Chair signature on the day of 120 <br /> Clerk's Signature: Date: <br /> i <br /> Revised March 2012 <br />