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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: Lee Anne Paulakonis Party/Vendor Contact Person: same Contact Phone: 919-304-3299 Party/Vendor Address: <br /> 2219 Jonquil Trail City Mebane State:NC Zip:27302 Department:BOCC Amount:Up to$13.000 Purpose:Transcription Services <br /> Budget Code(s): 10200020 630000 Vendor#61754 (N/A if new vendor) Vendor is a BOCC consultant? Yes❑No® Contract <br /> Type: (Check one)New❑ Renewal Z Amendment ❑ Effective Date 7/1/2013 Approved by Board Yes[]No® Agenda Date: <br /> Title of Contract: <br /> If this is a Grant Agreement,pre-application has been ap oved by the Board of Commissioners Yes[]NOD. If submitted for bid were <br /> bids/RFPs received Yes❑No❑ Bid/RFP num T c tract has been reviewed and approved by the Department Director as to <br /> technical content: <br /> Department Director's Signature: Date: 7j <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 Signatute. Date.. <br /> Risk Management <br /> Include the following coverages: ❑ CGL; ❑ Auto; ❑ WC; ❑ Professional; ❑ Property; OR No Insurance Require d ❑. 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: <br /> Financial Services <br /> This Contract is conditioned upon 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 Bud ,,��ndd Fiscal Control Act: <br /> Financial Services Director's Signature: � 6" dCA� 01 <br /> Date: <br /> County Attorney <br /> Approval by Board ❑ (Contracts $90,000.0 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 7z;w=Ll/ m and sufficiency:Attorney's Signature Date: <br /> ��3 <br /> County Ma nager <br /> This contract has been reviewed and is approved by the County Manager Yes®pia❑. <br /> This contract has been reviewed and is for si nature b t air Yes❑No <br /> i <br /> Manager's Signature: Date: — Z tl <br /> Clerk to the B <br /> Approved by BOCC on the_day of Submitt f • hair signature on the - day of 20 <br /> Clerk's Signature: Date: 3 <br /> Revised March 2012 <br />