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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: Communities in Schools of Orange County Party/Vendor Contact Person: Sheila Sholes-Ross Contact Phone: <br /> Party/Vendor Address: P.O. Box 9454 City Chanel Hill State:NC Zip: 27515-9454 Department: Finance&Administrative <br /> Services Amount: $102,000 Purpose: Outside Agency Budget Code(s): 10495050-710034 Vendor#26951 (N/A if new vendor) <br /> Vendor is a BOCC consultant? Yes❑No® Contract Type: (Check one)New❑ Renewal® Amendment ❑ Effective Date July 1, <br /> 2013 Approved by Board Yes®No❑ Agenda Date: June 18,2013 Title of Contract: 2013-14 Outside Agency Performance <br /> 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 /> J <br /> Department Director's Signature: �"u �� � Date: <br /> IT Director <br /> (Applicable only to hardwarelsoftware 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 Mana ement <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: 1j, <br /> r' Signature: �' ` Date: <br /> Risk Manager's nature:S� <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 Bud et and Fiscal Contr Act: <br /> Financial Services Director's Signature: o�l" = / P%-- Date: b� <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). Appro 1 by Manager❑ (Most other contracts $1,000 and above). Department Director approval only ❑ (Under <br /> $1,000). This contract has e r ed and approved by the Attorney as to legal form and sufficiency: <br /> Attorney's Signature Date: + <br /> County Manay-er <br /> This contract has been reviewed and is approved by the County Mana es No❑. <br /> This contract has been reviewed and is for signature by the Chair Y N -_ <br /> r <br /> Manager'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 />