Orange County NC Website
ORANGE COUNTY-CONTRACT CONTROL SHEET <br /> Rou mg 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: Orange County Schools Party/Vendor Contact Person: Dr.Denise Morton Contact Phone: 919-732-8126 <br /> Party/Vendor Address:200 E King St City Hiilsborouah State:NC Zip: 27278 Department: DSS Amount: $695,000.00 Purpose: <br /> Family pecialist Budget Code(s): Vendor# (N/A if new vendor) Vendor is a BOCC consultant? Yes❑No❑ <br /> Contract Type: (Fhpck one)New❑ Renewal® Amendment ❑ Effective Date 07/01/13 Approved by Board Yes4 No❑ <br /> Agenda Date:5 Title of Contract: <br /> If this is a Granf A reement,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: ZZ 7 13 <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: �jL� Z_ D Date: <br /> slz <br /> Financial Services <br /> This Contract is conditioned Pon appropriation by the Board of Commissioners Yes❑Nov A budget amendment is necessary <br /> before approval Yes❑ No[17 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: +Iry „d. Date: 11-7113 <br /> County Attorney <br /> Approval by Board A (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[z(Most other contracts$1,000 and above). Department Director approval only❑(Under <br /> $1000)*,, lThis is Gontr t o r viewed and approved rby the,Attorney as to legal form and sufficiency: A{oPe2QI j�ul '$�Y� <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 re b the C it Yes❑No <br /> Manager's Signature: Date: <br /> -Clerk to the Board <br /> Approved by BOCC on the_day of 0 Submitted for Chair signature on the_day of 120 <br /> Clerk's Signature: Date: <br /> Revised March 2012 <br />