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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: Shelby McLean Party/Vendor Contact Person: Shelby McLean Contact Phone- rty/Vendor Address: <br /> 1404 N. Elam Avenue City Greensboro State:NC Zip: 27408 Department: Public Health Amount $6 00 urpose: To enforce food, <br /> lodging,and Institutional sanitation laws and rules Budget Code(s): 10413020-630000 Vendor#N/ if new vendor) Vendor is <br /> a BOCC consultant? Yes ❑No® Contract Type: (Check one)New® Renewal ❑ Amendment <br /> ❑ Effective Date August 1,2013 <br /> Approved by Board Yes❑No[] Agenda Date: Title of Contract: REHS Service 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❑No❑ Bid/RFP number This contract has been reviewed and approved by the Department Director as to <br /> technical content: <br /> o, <br /> Department Director's Signature: 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: ❑ CGL; ❑ Auto; ❑ WC; ❑ Professional; ❑ Property; OR No Insurance Required 10/ 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: � /J. —. Date: <br /> Lps✓. 8�(3 <br /> Financial Services <br /> This Contract is conditioned pon appropriation by the Board of Commissioners Yes❑No f- A budget amendment is necessary <br /> before approval Yes❑ NoW 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 Budget-and Fiscal Control Act.. / <br /> Financial Services Director's Signature: ��1. �"� �r 44-- Date: Y �`1 l3 <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). Approval by Manager jX(Most other contracts$1,000 and above). Department Director approval only❑ (Under <br /> $1,000). This contract has b revie d and approved by the Attorney as to legal form and suffici ncy: <br /> Attorney's Signature Date: 1L1 <br /> County Manager <br /> This contract has been reviewed and is approved by the County Manager Ye o❑. <br /> This contract has been reviewed and is for signature by the Chair Yes❑No <br /> Manager's Signature: Date: 4 �Ld 3 <br /> lerk 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 />