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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: Diana Montgome Party/Vendor Contact Person: Diana Montgomery Contact Phone: 919-593-0831 <br /> Party/Vendor Address: 1830 Halls Mill Road City Efland State:NC Zip:27243 Department: Public Health Amount: $4,225 Purpose: <br /> Documentation and evaluation of the Fariview Community Garden project Budget Code(s): 10412020-680060-71076 Vendor#61441 <br /> (N/A if 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: Garden Evaluation Plan <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 /> t <br /> Department Director's Signature: Date: 1 3 <br /> (Applicable only to hardware/software purchases or related services)This contract has been reviewed and approve ormation <br /> Technology Director as to technical content a <br /> IT ' ctor's Signature: a e: <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: Vt�A"'�"� ✓-�"' Date: 41413 <br /> Financial Services <br /> This Contract is conditioned pon appropriation by the Board of Commissioners Yes❑No[Y( A budget amendment is necessary <br /> before approval Yes❑No�f.. 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 /> � —Act: �_ <br /> Financial Services Director's Signature: (y��"�"�'�' / , Date: 191/13 <br /> County Attorney <br /> Approval by Board ❑ (Contracts $90,000,09 or more for goods or services, $250,000.00 or more for construction, or any BOCC <br /> consultant contract). Approva Manager (Most other contracts$1,000 and above). Department Director approval only❑ (Under <br /> $1,000). This contract has be r vie d approved by the Attorney as to legal form and sufficiency: <br /> Attorney's Signature Date: let <br /> County Manamer <br /> This contract has been reviewed and is approved by th h)te ty Manager Yo❑. <br /> This contract has been reviewed and is fo 7 tore hair Y es❑No Manager's Signature: Date: <br /> ��� <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 /> w <br />