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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 si nature. <br /> Department P <br /> Party/Vendor Name: Town of Carrboro Party/Vendor Contact Person: Holly Holland Contact ne: Party/Vendor Address: <br /> 301 W.Main St City Carrboro State:NC Zip:27510 Department:Aging Amount: $1 40 ose: Program Support Budget Code(s): <br /> 10434005-448910 Vendor#595 (N/A if new vendor) Vendor is a BOCC consult s❑No® Contract Type:(Check one) <br /> New❑ Renewal® Amendment ❑ Effective Date July 1,2013 Approved by Board Yes❑No[] Agenda Date: Title of <br /> Contract: Agreement-Orange Co.RSVP 55+Volunteer Program <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: ...1 Date: -7-19 -13 <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 ❑. 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: Pot,,4 �G���H dlk�2�r4 Date: <br /> Financial Services <br /> This Contract is conditioned u on appropriation by the Board of Commissioners Yes❑No❑. A budget amendment is necessary <br /> before approval Yes❑No vj' 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 Budact and Fiscal Control Act: <br /> Financial Services Director's Signature: gyp`-* –094171VDate: <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 (Most other contracts$1,000 and above). Department Director approval only❑ (Under <br /> $1,000). This contract has been a iew and approved by the Attorney as to legal form and suffi iency. <br /> Attorney's Signature Date: (� <br /> County ManVNo., <br /> This contract has been reviewed and is approved by the Coun Manager This contract has been reviewed and is or 5st ur the C r Yes❑N <br /> Manager's Signature: Date: <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 />