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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 leg-al ieview process prior to being routed for signature. <br /> Department <br /> Party/Vendor Name: Transit Advertising Party/Vendor Contact:person: Chip Hutchinson Contact Phone: 919-696-4951 Party/Vendor <br /> Address: 6900 Millhouse Rd City Chapel Hill State:NC "Lip: 275 16 Department: Public Health Amount: $2400.00 Purpose: Town of <br /> Chapel Hill shall provide advertising for OCHD Budget Code(s): 10412020-680050 Vendor#41530 (N/A if new vendor) Vendor is <br /> a BOCC consultant? Yes❑No® Contract Type: (Check one) New® Renewal [] Amendment ❑ Effective Date <br /> Approved by Board Yes❑Nor-1 Agenda Date: Title of Contract: Transit Advertising <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: Date: /"� 17 <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 M_-ir^anent CA �Y <br /> Include the following coverages: ❑ CGL; ❑ Auto; ❑ WC; jJ Pioiessiouai; [I Property; OR No Insurance Required Y[r./Hold <br /> Contract pending receipt of Certificate of Insurance [R]. With ii,corpoi ido., of Insurance provisions as shown,this contract is approved <br /> by the Risk Manager:. f <br /> Risk Manager's Signature: /"� ---- --- Date: <br /> �lzco <br /> Financial Services <br /> This Contract is conditioned on appropriation by the Board of Commissioners Yes❑N& A budget amendment is necessary <br /> before approval Yes❑NoIf 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 Acct:: I ,,J <br /> ,�, C,. A Financial Services Director's Signature: A11— Date: 10/ <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[X(Most other contracts$1,000 and above). Department Director approval only❑ (Under <br /> $1,000). This contract has be evie a and approved by the Attoriey as to legal form and sufficie cy: <br /> Attorney's Signature <br /> Date: <br /> C(1li Il�.yl 5111�t�r_e r <br /> This contract has been reviewed and is prov d by the Count.) f�la�;., e. Yes ;`Jo❑. <br /> This contract has been reviewe d i r si n ture b the C it Yes�-�;vo❑. <br /> Manager's Signature: Date: d /� X/7 <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 />