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--Zola-t` ) <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: A Helping Hand Party/Vendor Contact Person: Ryan Stancil Contact Phone: Party/Vendor Address: 1502 <br /> W NC 54, Suite 405 City Durham State:NC Zip:27707 Department:Aging Amount: $3,000 Purpose: Caregiver Respite Budget <br /> Code(s): 10432020-630105 Vendor#32018 (N/A if new vendor) Vendor is a BOCC consultant? Yes❑No® Contract Type: <br /> (Check one)New ❑ Renewal® Amendment ❑ Effective Date 07/01/2013 Approved by Board Yes[]No❑ Agenda Date: <br /> Title of Contract:Respite Care Provider <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: <br /> 0 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 21. 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: t/l�-'� /✓. Date: C- 5 -13 <br /> . 614113 <br /> Financial Services <br /> This Contract is conditioned on appropriation by the Board of Commissioners Yes❑N& A budget amendment is necessary <br /> ❑ <br /> before approval Yes No[SIf 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 /> .�,_ Date: 5 Financial Services Director's Signature: Clctt W A. <br /> County Attorney <br /> Approval by Board ❑ (Contracts $90,00q.jo or more for goods or services, $250,000.00 or more for construction, or any BOCC <br /> consultant contract). Appr a y anager V(Most other contracts$1,000 and above). Department Director approval only❑ (Under <br /> $1,000). This contract has e e and approved by the Attorney as to legal form and suffi iency: <br /> Attorney's Signature Date: lt 3 <br /> County Manager <br /> This contract has been reviewed and is approved by the Co ty Manager Ye„5� <br /> This contract has been reviewed and is r si ture by Chair Yes❑No <br /> Manager's Signature: Date: �D <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 />