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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: El Centro Hispano Party/Vendor Contact Person: Pilar Rocha-Goldbere Contact Phone: Party/Vendor <br /> Address: 600 E. Main St. City Durham State:NC Zip: 27701 Department: Finance&Administrative Services Amount: $20,000 <br /> Purpose: Outside Agency Budget Code(s): 10495050-719058 Vendor#801399 (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:2013-14 Outside Agency Performance Agreeement <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: �( C�1�-'�" a""`� Date: r Z� r'3 <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; Rr W Professional; El Property; OR No Insurance Required ❑. Hold <br /> Contract pending receipt of Certificate of Insurance WifhinVorporation of Insurance provisions as shown, this contract is approved <br /> by the Risk Manager: c��C 'P-�-C c)v��eo e_p_ <br /> Risk Manager's Signature: Date: !3 <br /> Financial Services <br /> This Contract is conditioned on appropriation by the Board of Commissioners Yes❑No5[� A budget amendment is necessary <br /> before approval Yes❑ No I 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: ddytwl.� 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). 4.1 by Manager (Most other contracts $1,000 and above). Department Director approval only ❑ (Under <br /> $1,000). This contract has b evi and approved by the Attorney as to legal form and suffici ncy: <br /> Attorney's Signature Date: <br /> County Mana'er <br /> This contract has been reviewed and is approved by the County Manager Yes No❑. <br /> This contract has been reviewed and is for ature b the it Yes❑No <br /> Manager's Signature: Date: <br /> rk 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 />