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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: Chapel Hill-Carrboro Meals on Wheels Party/Vendor Contact Person: Stacey Yusko Contact Phone: <br /> Party/Vendor Address: P.O. Box 2102 City Chapel Hill State:NC Zip: 27514 Department: Finance&Administrative Services <br /> Amount: $2,000 Purpose: Outside Agency Budget Code(s): 10495050-719053 Vendor#800080 (N/A if new vendor) Vendor is a <br /> BOCC consultant? Yes ❑No® Contract Type: (Check one)New❑ Renewal ® Amendment ❑ Effective Date July 1,2013 <br /> Approved by Board Yes®No[] Agenda Date: June 18,2013 Title of Contract:2013-14 Outside Agency Performance Agreement <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:� - �._ //�L Date: <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: YCGL;\e Auto; C; 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 /> d 7'Risk Manager's Signature: ���`'�`� � Date: � b l•� <br /> Financial Services <br /> This Contract is conditioned ppon appropriation by the Board of Commissioners Yes❑No A budget amendment is necessary <br /> before approval Yes❑ NoIf 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 c <br /> /g , t: <br /> Financial Services Director's Signature: el ""` ). Date: glU l? <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 b Managero(Most other contracts $1,000 and above). Department Director approval only ❑ (Under <br /> $1,000). This contract has bee e 'ew d approved by the Attorney as to legal form and suffic'4ny At torney's Signature Date: � �_3 <br /> County Manaj!cr <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 by the Chair°Yes No <br /> Manager's Signature: f ` Date: I4! ' <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 />