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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: Orange County Literacy Council Party/Vendor Contact Person: Alice Denson Contact Phone: <br /> Party/Vendor Address: 200 N. Greensboro St., Suite C-2 City Carrboro State:NC Zip: 27510 Department: Finance&Administrative <br /> Services Amount: $12,000 Purpose: Outside Agency Budget Code(s): 10495050-710024 Vendor# 800013 (N/A if new vendor) <br /> Vendor is a BOCC consultant? Yes ❑No® Contract Type: (Check one)New ❑ Renewal ® Amendment ❑ Effective Date July 1, <br /> 2013 Approved by Board Yes®No❑ Agenda Date: June 18,2013 Title of Contract: 2013-14 Outside Agency Performance <br /> 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: �'�•- •`J ' L� Date: 101411 ,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; ❑ 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: (iCit� ( Date: <br /> a 1.80 <br /> Financial Services <br /> This Contract is conditioned ypon appropriation by the Board of Commissioners Yes❑Noz A budget amendment is necessary <br /> before approval Yes❑No[Z. 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: r / <br /> Financial Services Director's Signature: 00,z, / � Date: l L <br /> County Attorney <br /> Approval by Board ❑ (Contracts $90,00 0 or more for goods or services, $250,000.00 or more for construction, or any BOCC <br /> consultant contract). Approva y Ma gerIA(Most other contracts$1,000 and above). Department Director approval only ❑ (Under <br /> $1,000). This contract has be vie d approved by the Attorney as to legal form and sufficie cy: <br /> Attorney's Signature Date: 1D 3 <br /> County Manager <br /> This contract has been reviewed and is approved by the County Manager Yes�o❑. <br /> This contract has been reviewe d i r nat e by th air Y s❑No❑. <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 />