Orange County NC Website
a01�- 1� <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: Phil Cox Party/Vendor Contact Person: Phil Cox Contac hone: 9 9-816-6678 Party/Vendor Address: 603 Flint <br /> Ridge Rd. City SilerCi State:NC Zip: 27322 Department: DEAPR Amo t: 120 Purpose: Enviornmental Summer Camp <br /> Budget Code(s): 630000 Vendor# (N/A if new vendor) Vendor is a nsultant? Yes E]No® Contract Type: (Check <br /> one)New® Renewal ❑ Amendment El Effective Date June 24,2013 Approved by Board Yes❑No® Agenda Date: <br /> Title of Contract: Enviornmental Camp Coordinator <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: (,10113- <br /> IT Director <br /> (Applicable only to(hrdwarelsoftware purchases or related services)This contract has been reviewed and approved by the Information <br /> Technology Direct s to technical content and information technology specifications: <br /> IT Director's Si re: Date: <br /> Risk Management <br /> Include the following coverages: ❑ CGL; ❑ Auto; ❑ WC; ❑ Professional; ❑ Property; OR No Insurance Required [1]�� 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: nD <br /> Risk Manager's Signature: Date:4 w1; <br /> 6114 l 1:3 <br /> Financial Services <br /> This Contract is conditioned on appropriation by the Board of Commissioners Yes❑No[Q/ A budget amendment is necessary <br /> before approval Yes❑No[ tf 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:�n <br /> Financial Services Director's Signature: VA4 k,_, P Date: (—.61 l a <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). Approval by Manager;21—most other contracts$1,000 and above). Department Director approval only❑ (Under <br /> $1,000). This contract has bee rev wed an by the Attorney as to legal form and sufficiency: <br /> Attorney's Signature Date: <br /> ,/-/ f-/3 <br /> County Manager <br /> This contract has been reviewed and is approved by the County Manager Ye ❑. <br /> This contract has been reviewed and is for signature by t hair Yes❑N <br /> Manager's Signature: Date: <br /> Clerk to the Board <br /> Approve by BOCC on the_day of 20 . Submitted for Chair signature on the_day of 20 <br /> Clerk's Si re: Date: <br /> Revised March 2012 <br />