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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: A Helping Hand Party/Vendor Contact Person: Ryan Stancil Contact Phone: Party/Vendor Address: 1502 <br /> W.NC 54, Suite 405 City Durham State:NC Zip:27707 Department: Finance and Administrative Services Amount: $2,000 Purpose: <br /> Outside Agency Budget Code(s): 10495050-720085 Vendor#800034 (N/A if new vendor) Vendor is a BOCC consultant? Yes❑ <br /> No® Contract Type: (Check one)New ❑ Renewal ® Amendment ❑ Effective Date July 1,2013 Approved by Board Yes®No <br /> ❑ Agenda Date: June 18,2013 Title of Contract: 2013-14 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: VL S�` fd"'� Date: 1eo Z' L 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 /> k Mana ement �� <br /> Include the following coverages: El CGL; [] Auto; WC; ❑ Professional; ❑aProperty; o 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: ( • }t6� <br /> Risk Manager's Signature: Date: ri <br /> Financial Services <br /> This Contract is conditioned on appropriation by the Board of Commissioners Yes❑No . A budget amendment is necessary <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 aaul— Act•Financial Services Director's Signature: �" f ,Date: t4 z1,3 <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 b anager 0 (Most other contracts $1,000 and above). Department Director approval only ❑ (Under <br /> $1,000). This contract has been vi ed proved by the Attorney as to legal form and sufficiency: <br /> Attorney's Signature Date: D 3 <br /> County Manazer <br /> This contract has been reviewed and ' a ov d by the County Manager Yes 1o❑. <br /> This contract has been reviewed is s' n ure y the C Y ❑No❑. <br /> d <br /> Manager's Signature: z Date: <br /> OF <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 />