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ao c B— Z77<1 <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: Town of Chapel Hill Party/Vendor Contact Person: Coco Hall Contact Phone: 919-969-2 Nendor <br /> Address:405 MLK Jr Blvd City Chapel Hill State:NC Zip:27514 Department:Aging Amount: 12`30 rpose:Pro age- m Support <br /> Budget Code(s): 10434005-448910 Vendor#64 (N/A if new vendor) Vendor is a BOCC cons es❑No® Contract Type: <br /> (Check one)New❑ Renewal ® Amendment ❑ Effective Date July 1,2013 Approved by Board Yes❑No❑ Agenda Date: <br /> Title of Contract:Performance Agreement-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: Date: -7-10/,3 <br /> tj <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: t%VV((N OJ 0 '1 Date: 3 <br /> Financial Services <br /> This Contract is conditioned a on appropriation by the Board of Commissioners Yes❑No❑. A budget amendment is necessary <br /> before approval Yes❑No O. 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 Budge d Fiscal Control Act: <br /> Financial Services Director's Signature: ��� � _014_g0l Date: I l3 <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 ager Most other contracts$1,000 and above). Department Director approval only❑(Under <br /> $1,000). This contract has been rev a and IppToff by the Attorney as to legal form and suffi 'ency: <br /> Attorney's Signature Date: <br /> County Manager <br /> This contract has been reviewed and is approved by the County Manager Yes No <br /> This contract has been reviewed and is for signature the C air,,Yes❑No[f ❑. <br /> Manager's Signature: / Date: � z <br /> Cl 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 />