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9, 013- 40 <br /> 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: Assistance Travel and Transport Party/Vendor Contact Person: Kenneth M. Williams, CEO Contact Phone: 919- <br /> 489-5050 Paty/Vendor Address: 3710 University Drive Suite 240 City Durham State:NC Zip:27707 Department: DSS Amount: <br /> $35,000 Purpose: Provide transportation services to clients identified by the County Budget Code(s): 10403020-633000 Vendor#58559 <br /> (N/A ifaiev�vendor) Vendor is a BOCC consultant? Yes❑No❑ Contract Type: (Check one)New❑ Renewal❑ Amendment <br /> 1 ffective Date 07/01/14 Approved by Board Yes❑No❑ Agenda Date: Title of Contract: <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 Signatu Date: G_H ^f 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 /> isk Ma a ement <br /> Include the following coverages: CGL; Auto; FT WC; V 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: � Date: t 7 <br /> Financial Services <br /> This Contract is conditioned on appropriation by the Board of Commissioners Yes No A budget amendment is necessary <br /> before approval Yes❑ No�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 t: ! <br /> Financial Services Director's Signature: �"�-��' / Date: ! �� <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 X(Most other contracts$1,000 and above). Department Director approval only ❑ (Under <br /> $1,000). This contract has bWiewe d appr oved by the Attorney as to legal form and sufficiency: <br /> Attorney's Signature Date: ?� 3 <br /> County Manag <br /> This contract has been reviewed and is approved by the Coun Manager Y El.This contract has been reviewed and is for sig e e 7esoNo�� <br /> Man ager'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 />