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D)-3--L� <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: Orange County Speedway Management,LLC Party/Vendor Contact Person: Beverly Liles Contact Phone: 336- <br /> 364-1222 Party/Vendor Address:9740 NC Hiizhwqy 57 City Rougemon State:NC Zip:27572 Department: Orange County <br /> Emergency Services Amount: $100/hour,variable hours Purpose:To provide EMS coverage at OC Speedway events Budget Code(s): <br /> Vendor# (N/A if new vendor) Vendor is a BOCC consultant? Yes❑NoE Contract Type: (Check one)New❑ <br /> Renewal S Amendment r_1 Effective Date Approved by Board Yes❑NoE Agenda Date: Title of Contract: <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 c act has been reviewed and approved by the Department Director as to <br /> technical content: <br /> Department Director's Signature 4(� Date: <br /> 7 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: D/CGL; []Auto; a 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: Date: <br /> q 13 <br /> Financial Services <br /> This Contract is conditioned qj4bn appropriation by the Board of Commissioners YesE]NoE3/ A budget amendment is necessary <br /> before approval Yes❑No[R.' 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 Co trol Act- <br /> Financial Services Director's Signature: ('Ya,6"_, Date: 3 <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). Approva Ay Manager Ix(Most other contracts$1,000 and above). Department Director approval only E](Under <br /> $1,000). This contract has iew approved by the Attorney as to legal form and suffici ncy: <br /> Attorney's Signature Date: <br /> County Manager <br /> This contract has been reviewed and is approved by the County Manager Yes 00. <br /> This contract has been reviewed and is for signature by the C YesMNoa-7.-, <br /> Manager's Signature: Date:-,5 —2,1 <br /> k 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 />