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o?O l3- <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 s ttld <br /> be completed through the legal review process prior to being routed for signature. <br /> Department <br /> Party/Vendor Name: Barry E. Oldham Party/Vendor Contact Person: Barry E. Oldham Contact Phone: P / ndor Address: <br /> 876 Reno Sharps Store Rd. City Bear Creek State:NC Zip: 27207 Department: Public Health Amount: P ose: Provider will <br /> enforce Food Lodging and Institutional Sanitation laws and rules Budget Code(s): 10413020-630000 A (N/A if new <br /> vendor) Vendor is a BOCC consultant? Yes❑No® Contract Type: (Check one)New ® Renewal❑ Amendment ❑ Effective <br /> Date August 6,2013 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❑Nor-] Bid/RFP number This contract has been reviewed and approved by the Department Director as to <br /> technical content: <br /> c <br /> Department Director's Signature: Date: ',z —)3 <br /> fT <br /> (App a dware/software purchases or related services)This contract has been reviewed and approved by the nor <br /> Technology Director as to technica c to s ecifications: <br /> Risk Managementy ,,rQ c � <br /> Include the following coverages: 5CGL; Auto; 0 WC; ❑ Professional; ❑ Property; OR No Insurance Required JZ. 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: VS Date: <br /> 19 Financial Services <br /> This Contract is conditioned on appropriation by the Board of Commissioners Yes❑NZ( A budget amendment is necessary <br /> before approval Yes❑ No[y.. 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 Budg t and Fiscal Contr Act: <br /> Financial Services Director's Signature: 00+' w _b 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). Approva by Manager (Most other contracts$1,000 and above). Department Director approval only❑ (Under <br /> $1,000). This contract has be e ie and approved by the Attorney as to legal form and sufficciency: <br /> Attorney's Signature Date: q <br /> County Manager <br /> This contract has been reviewed and is approved by the County lager Yes No[:]. <br /> This contract has been reviewed and is for signature b e C s No r <br /> Manager's Signature: Date: ^1 GG� <br /> g g <br /> le to the Board <br /> Approved by BOCC on the day of 20-Lz Submitted for Chair signature on the_day of ,20 <br /> CIP-' ature: Date: <br /> 1 2012 <br />