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1% 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: Breezy Oaks Farm Party/Vendor Contact Person: Andrew Magilone Contact Phone:919-270-0010 Party/Vendor <br /> Address:469 Woodview Drive City Chatham State:VA Zip: 24531 Department:Economic Development/PFAP Amount: <br /> Purpose:Use of facilily Budget Code(s): Vendor# (N/A if new vendor) Vendor is a BOCC consultant? Yes❑NoZ <br /> Contract Ty-p-e7. Check one)New Z Renewal❑ Amendment F-1 Effective Date 1/23/12 Approved by Board Yes❑Noo <br /> Agenda Date:NA Title of Contract:User Services Contract <br /> If this is a Grant Agreement,pre-application has been approved by the Board of Commissioners Yes❑NoZ. 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: <br /> IT Director <br /> (Applicable only to hardwarelsoftware 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: Lvff"CGL; ❑ Auto; ❑ WC; ❑ Professional; ❑ Property; ❑ OR No Insurance Required El. 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:4ayxtc1,t Date: <br /> e, <br /> Financial Services <br /> This Contract is conditioned upon appropriation by the Board of Commissioners Yes❑Noy. A budget amendment is necessary <br /> before approval Yes❑Not 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 ❑ (Contracts over,,$90,000.00 for goods or services, $250,000.00 for construction, or any BOCC consultant <br /> contract). Approval by Manager K All other contracts). This contract has been reviewed and approved by the Attorney as to legal <br /> form and sufficiency: <br /> Attorney's Signature —.4 ------ Date: <br /> County Manager <br /> This contract has been reviewed and is approved by the County Manager Yogrj Non, <br /> This contract has been reviewed and is to be &d for i rat on Yes❑N <br /> Manager's Signature: Date: 4 <br /> I-eJerk to the Board <br /> Approved by BOCC on the J day of 20—. Submitted for Chair signature on the day of 120_. <br /> Clerk's Signature: Date: <br /> Revised April 2010 <br />