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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: Voices Together Party/Vendor Contact Person: Yasmine White Contact Phone: Party/Vendor Address: <br /> 206 Old Forest Creek Dr. City Chapel Hill State:NC Zip: 27514 Department: Finance and Administrative Services Amount: $5,000 <br /> Purpose: Outside Agency Budget Code(s): 10495050-719066 Vendor#62051 (N/A if new vendor) Vendor is a BOCC consultant? <br /> Yes ❑No® Contract Type: (Check one)New ® Renewal ❑ Amendment ❑ Effective Date July 1,2013 Approved by Board <br /> Yes®No❑ Agenda Date: June 18,2013 Title of Contract: 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: t�(,�"`O""" �• �/��' Date: u 27 <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 /> ¢f <br /> islc Mana ement J fu,� ��j /fsnc <br /> Include the following coverages: ❑ CGL; V 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: ?'a 'r C,0 A-{-&A,* 7(¢fv'd f e ,Q Vt,p-� -r6 ♦ ) WC-4- P1 <br /> Risk Manager's Signature: �(�� Date: <br /> Financial Services <br /> This Contract is conditioned on appropriation by the Board of Commissioners Yes❑No R"" A budget amendment is necessary <br /> ❑ <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 Budget and,�Fiscal Control Act: <br /> Financial Services Director's Signature: f✓ d• Date: <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 13.v Manager (Most other contracts$1,000 and above). Department Director approval only ❑ (Under <br /> $1,000). This contract has bee re iew approved by the Attorney as to legal form and sufficie cy: <br /> Attorney's Signature Date: 13 <br /> County Manager <br /> This contract has been reviewed and is approved by the County Manager Ye No❑. <br /> This contract has been reviewed and is for signatu by the air Yes❑N <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 />