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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: Coleman Gledhill Hargrave&Merritt P.C. Party/Vendor Contact Person: Geoffrey E.Gledhill Contact Phone: <br /> 919-732-1203 Address: 129 E.Tryon St. City Hillsborough State:NC Zip:27278 Department:Planning&Inspections <br /> AE nt: 000 se:Mich°d1 Buck Appeal Budget Code(s): 10620020-630000 Vendor#50218 (N/A if new vendor) Vendor is <br /> a co nt� es❑No[] Contract Type:(Check one)New® Renewal❑ Amendment ❑ Effective Date 3/1/2013 <br /> d Yes❑No❑ Agenda Date: Title of Contract: <br /> is 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 Signatur uC "� �'%� 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 E . Hold <br /> Contract pending receipt of Certificate of Insurance M. With incorporation of Insurance provisions as shown,this contract is approved <br /> by the Risk Manager: /* /' <br /> er C <br /> Risk Mana 's Si nature: �t".-G�s...w �' Date: 7 S <br /> g <br /> Financial Services <br /> This Contract is conditioned upon appropriation by the Board of Commissioners Yes❑No . 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 Bud elt and-Fiscal Control Act: <br /> Financial Services Director's Signature: 4-h-° AN- Date: qllj La <br /> County Attorney <br /> Approval by Board ❑ (Contracts $90,00 .0 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 b e rev ed and approved by the Attorney as to legal form and sufficiency: <br /> Attorney's Signature Date: ¢3 <br /> County Manager <br /> This contract has been reviewed and is approved by ounty Manager No❑. <br /> This contract has been reviewed and is r a e hair Yes❑N� <br /> Manager's Signature: Date:`'' <br /> Clerk to the Board <br /> Approved by BOCC on the_day of ,20 . Submitted for Chair signature on the day of ,20 <br /> Clerk's Signature: Date: <br /> Revised March 2012 <br />