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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 • Alliance of AIDS Services Party/Vendor Contact Person: James Law Contact Phone: (919)834-2437 <br /> Party/Ven r Addr S.Harrington Street,PO Box 12583 City Raleigh State:NC Zip:27602 Department:Outside Agencies <br /> Amount 2 ose: Outside Agency Budget Code(s): 10495050-719022 Vendor#50705 (N/A if new vendor) Vendor is a <br /> BOCC t? Yes❑No® Contract Type: (Check one)New® Renewal❑ Amendment ❑ Effective Date 07/01/2012 <br /> Approved by Board Yes®No❑ Agenda Date: 06/19/2012 Title of Contract:2012-13 Outside Agency Performance Agreement <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: h <br /> Department Director's Signature: Y"-t. ,/J• A--' Date: Sj(,(,7 <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; [trProfessional; Property; ❑ OR No Insurance Required ❑. 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: /�"� Date: 516113 <br /> Financial Services <br /> This Contract is conditioned on appropriation by the Board of Commissioners Yes❑Now A budget amendment is necessary <br /> before approval Yes[:]No[yIf budget amendment is necessary,please attach to this form. This instrument has been pre-audited in the <br /> manner required by the Local Government Budott and Fiscal Control Act: <br /> Financial Services Director's Signature: l/l �'�""" / Date: G/13 <br /> County Attornev <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 ❑ (All other contracts). This contract has been reviewed and approved by the Attorney as to legal <br /> form and sufficiency: ff 22 <br /> Attorney's Signature Date:-6f]31 rs <br /> County Manager /A <br /> This contract has been reviewed and is approved by the County Manager Yes o <br /> This contract has been reviewed and is to be sub ed f BOC c nsj ion s <br /> Manager's Signature: Date: <br /> Cle o 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 April 2010 <br />