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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: Fairview Community Watch Party/Vendor Contact Person: Dorothy Johnson Contact Phone:919-245-2379 <br /> Party/Vendor Address:PO Box 162 City Efland State:NC Zip: 27243 Department: Public Health Amount: $9,500 Purpose: To <br /> promote,market,and develop the Fairview Community Garden_ Budget Code(s): 10412020-680060-71076 Vendor#61785 (N/A if <br /> new vendor) Vendor is a BOCC consultant? Yes ❑No® Contract Type: (Check one)New® Renewal ❑ Amendment ❑ <br /> Effective Date June 1,2013 Approved by Board Yes[] No❑ Agenda Date: Title of Contract: Fairview Foward <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 /> C <br /> Department Director's Signature: Date: <br /> (Applicable only to hardware/software purchases or related services)This contract has been reviewe an a ormation <br /> Technology Director as to technical content and information t N-Al, C a t i III!!!s: <br /> IT Director's Date: <br /> Risk Management <br /> Include the following coverages: ❑ CGL; ❑ Auto; ❑ WC; ❑ Professional; ❑ 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: �O <br /> Financial Services <br /> This Contract is conditioneon appropriation by the Board of Commissioners Yes❑NoEe A budget amendment is necessary <br /> before approval Yes❑Nov 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 Conol Act: <br /> l; <br /> Financial Services Director's Signature: 411-11.— Date: l� <br /> County Attorney <br /> Approval by Board ❑ (Contracts $90,000.0 or more for goods or services, $250,000.00 or more for construction, or any BOCC <br /> consultant contract). Approval by ManagerX(Most other contracts$1,000 and above). Department Director approval only ❑ (Under <br /> $1,000). This contract has been ewe n approved by the Attorney as to legal form and sufficien y: <br /> Attorney's Signature Date: el <br /> County Mi.nagtr <br /> This contract has been reviewed and is approved by the uumy Manager Yes o❑. <br /> This contract has been reviewed and is fors t b h hair Yes❑No <br /> Manager's Signature: Date: CY "Z 7 <br /> FClerk 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 />