Orange County NC Website
ORANGE COUNTY—CONTRACT CONTROL SHEET <br /> Routing Order: (l)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 B0CCapproval. Contracts for <br /> B0CC approval must be submitted through, and complete,the routing process prior to agenda review. Contracts for|cgo|review should <br /> be completed through the legal review process prior to being routed for signature. <br /> Department <br /> Party/Vendor N Party/Vendor Party/Vendor C Brian Ferrell C onta -4960 Party/Vend <br /> Address: PO, B-ox 16564 City Chqpel Hill State:NC Zip: 27516 Department: Fi e and Admi istrative Service,� Amount: not to <br /> exceecV�l 5.00 0 e: Enizagement.for Legal Services: Title Opinion for Souffiern Human Services Centg-Fgfe]and AMS North <br /> Camp&$Egj�!fn- 'urtherance of$9,975,000 Financiniz(the "Proiect") Budget Oa�.=- (N/A if new vendor) <br /> Vendor is a BOCC consultant? Yes M NoZ Contract Type: (Check one)New 0 Renewal E] Amendment F-1 Effective Date <br /> 7/2/2013 Approved by Board YesF�NoF_1 Agenda Date: Title of Contract: <br /> If this /au Grant Agreement, pre-application has been approved by the Board or Commissioners xcoLJ moZ. umunmiuoonornmvvo,o <br /> bidnDlFPy received YeoF_1 NoZ Bid/KFP uumhcrNATbiu contract has been reviewed and approved by the Department Director as to <br /> technical content: <br /> Department Director's Signature: Date: <br /> ,L <br /> IT Director <br /> (Applicable only m6urdwu,u6cft=u,e purchases v,related services)This contract has been reviewed and approved by the Information <br /> Technology Director as to technical content and information technology specifications: <br /> I1[Director's Signature: Date: <br /> Risk Manapemen <br /> Include the following coverages: El COL; F-1 Auto; El VC; F� Professional; F-1 Property; OR No Insurance Required M 8nN <br /> Contract pending receipt of Certificate ofInsurance [T With incorporation of Insurance provisions as shown,this contract is approved <br /> by the Risk Manager: <br /> �L � <br /> Dkiok��uougoc`oSignature: �� <br /> ���-�~~ VA*~~-- Date: ^ <br /> Financial Services <br /> This Contract is conditioned upon appropriation by the Board uyCommissioners YoxE]NoB� /\ budget amendment is noocaosy <br /> before approval yeaF_1 No2 lP budget amendment ianecessary, please attach tothis form. This instrument has been pre-audited in the <br /> manner required hy the Local Government Budget and Fiscal Control Act: <br /> Financial Services Director's Signature: Date: 7 <br /> County Attorney <br /> Approval by Board [] (Contracts $9000000 more for goods or services, $250,000.00 or more for oonetruotioo, or my 80CC <br /> consultant contract). Approval hyManager (Most other contracts$|,0O0 and ubove). Department Director approval only F-1 (Under <br /> $l,00O). This contract has been reviewed and approved by the Attorney as to legal form and sufficiency: <br /> Attorney's Signature Date: <br /> County Manne <br /> This contract has been i d and is g by the County <br /> This contract has been i d and is for i <br /> Manager's Signature: ' ~ . <br /> Clerk to the Board <br /> Approved byBOCCou the_day of .2O____. Submitted for Chair signature on the day o[ .ZO____. <br /> Clerk's Signature: Date:— <br /> Revised March 2012 <br />