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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: Town of Carrboro Party/Vendor Contact Person: Holl Hollan_ Contact Party/Vendor Address: <br /> 301 W.Main St City Carrboro State:NC Zip:27510 Department:Aging Amo : $5 0 urpose: Program Support Budget <br /> Code(s): 10430105-449001-71086 Vendor#595 (N/A if new vendor) Vend i CC consultant? Yes❑No® Contract Type: <br /> (Check one)New❑ Renewal ® Amendment ❑ Effective Date JuIY 1,20 pproved by Board Yes❑No❑ Agenda Date: <br /> Title of Contract:Agreement-Orange Co.Dept. of Aging-Senior Lunch 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: Date: T-If-/3 <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 Manaeement <br /> Include the following coverages: ❑ CGL; ❑ Auto; ❑ WC; ❑ Professional; ❑ Property; OR No Insurance Required El. 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: / Iw�C / � �1 ��� Date: <br /> �. ~�1zz113 <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 Y. 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 Bud and Fiscal Control Act: <br /> Financial Services Director's Signature: 0CWR -#9 ilf&�A Date:el 1� I <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 b revie and approved by the Attorney as to legal form and suffi 'ency: <br /> Attorney's Signature /`' ` Date- <br /> County Z7J �3 <br /> County Manager <br /> This contract has been reviewed and is approved by the County Manager YeANo❑. <br /> This contract has been reviewed and is for!nature by the C 'r Yes❑ ` <br /> NoLo <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 />