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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: Top 9f the Party/Vendor Contact Person: Danielle Olcott Contact Phone: 919-929- 6 x3 P Nendor <br /> Address: 100 East Fr Hill State:NC Zip:27514 Department: Tax Office Amoun 1 669.36 urpose: <br /> Eastern Pied ax Association Re ional Meetin udget Code(s): 530200 Vendor#N/A (N/A if new endor en is a BOCC <br /> consul c one)New® Renewal❑ Amendment ❑ Effective Da�^ eptember 19,2013 <br /> Approve y card Yes❑Non 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❑Non 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: 1 1 6 3 <br /> IT Director <br /> ( This contract has been reviewed and approved by the Information <br /> Technology Director as to technical content a94 information technology specifications: �( <br /> IT Director's Signature: / v 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 E]. With incorporation of Insurance provisions as shown,this contract is approved <br /> by the Risk Manager: <br /> Risk Manager's Signature: C� G./ Date: oil <br /> Financial Services <br /> This Contract is conditioned u n appropriation by the Board of Commissioners Yes❑No A budget amendment is necessary <br /> before approval Yes❑ No�f 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 Act: 124-13 <br /> Financial Services Director's Signature: ��L�Li�fn4✓ Jam` �'v"`� Date: <br /> County Attorney <br /> Approval by Board ❑ (Contracts $90,000. more for goods or services, $250,000.00 or more for construction, or any BOCC <br /> consultant contract). Approval by Manager ost other contracts$1,000 and above). Department Director approval only❑ (Under <br /> $1,000). This contract has been r iewed d by the Attorney as to legal form and sufficiency: <br /> - <br /> Attorney's Signature Date: <br /> County Manager <br /> This contract has been reviewed and is approved by the County Mana er Ye ❑. <br /> This contract has been reviewed and is for signature by the Chair o zz <br /> Manager's Signature: Date: U <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 />