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Ala --S <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: Lara Baliari[ Party/Vendor Contact Person: Contact Phone: Party/Vendor Address: 101 Hi way <br /> 54,Apt B7 City Carrboro State:NC Zip:27510 Department:Aging Amount: $3,500.00 Purpose: MAP Social Media Project Budget <br /> Code(s): 10430020-630120 Vendor#61905 (N/A if new vendor) Vendor is a BOCC consultant? Yes❑No® Contract Type: <br /> (Check one)New ❑ Renewal® Amendment ❑ Effective Date August 15,2013 Approved by Board Yes❑No❑ Agenda <br /> Date: Title of Contract: Master Aging Plan <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: ,,II <br /> Department Director's Signature: w ••C- 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: F1 CGL; El Auto; F1 WC; F1 Professional; F] Property; OR No Insurance Required L9• 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 /> J C <br /> Risk Manager's Signature: Lam`' Date: 0` 1 q!r <br /> 13 <br /> Financial Services <br /> This Contract is conditioned ypon appropriation by the Board of Commissioners Yes❑No['►�. A budget amendment is necessary <br /> before approval Yes[:]NoEZ. 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:r� <br /> Financial Services Director's Signature: /_j Date: l 413 <br /> County Attorney <br /> Approval by Board ❑ (Contracts $90,00 0 or more for goods or services, $250,000.00 or more for construction, or any BOCC <br /> consultant contract). Approval by Manager] (Most other contracts$1,000 and above). Department Director approval only❑ (Under <br /> $1,000). This contract has been e ' we n approved by the Attorney as to legal form and sufficiency: <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 by the Chair Yes❑No❑. <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 />