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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: Matt Bainter Party/Vendor Contact Person: Matt Bainter Contact Phone:928-925-3906 Party/Vendor A , ess: <br /> 201 HM 54 West;A Amount: <br /> Amt 701 City Carrboro State:NC Zip:275 10 Department: Orange County Emergency Services Amou�n : <br /> Purpose:To Provided Budget Code(s):_ Vendor#_ (N/A if new vendor) Vendor is a BOCC consultant? Yes 0 <br /> Contract Type: (Check one)New 0 Renewal❑ Amendment ❑ Effective Date— Approved by Board Yell NoN <br /> Agenda Date: Title of Contract:Paramedic Academy Training Agreement <br /> If this is a Grant Agreement,pre-application has been approved by the Board of Commissioners YesE]NoE]. If submitted for bid were <br /> bids/RFPs received Yes❑Non Bid/RFP r contract has been reviewed and approved by the Department Director as to <br /> technical content: :i T <br /> Department Director's Signature. Date: /Z <br /> < X? <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 [7. Hold <br /> Contract pending receipt of Certificate of Insurance Fl. With incorporation of Insurance provisions as shown,this contract is approved <br /> by the Risk Manager: <br /> Risk Manager's Signature: Date: -51 <br /> tuc <br /> lqj tS <br /> Financial Services <br /> This Contract is conditioned on appropriation by the Board of Commissioners Yes❑Nooz/ A budget amendment is necessary <br /> before approval Yes❑No[g. 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: UA,� /). Date: <br /> County Attorney <br /> Approval by Board ❑ (Contracts $90,OOQ.PO or more for goods or services, $250,000.00 or more for construction, or any BOCC <br /> consultant contract). Approval by ManagerQ (Most other contracts$1,000 and above). Department Director approval only❑ (Under <br /> $1,000). This contract has be rev' and approved by the Attorney as to legal form and suffic ency <br /> Attorney's Signature Date: <br /> County Manager <br /> This contract has been reviewed and is approved by the C/6unty Manager NtCl <br /> This contract has been reviewed and is f r signature e it YesDNQ9?— <br /> Manager's Signature: Date: <br /> Clerk to the Board <br /> Approved by BOCC on the day of 120 Submitted for Chair signature on the day of 20 <br /> Clerk's Signature: Date: <br /> Revised March 2012 <br />