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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: Ferrell Firm,P.C. Party/Vendor Contact Person: Brian Ferrell Contact Phone: 919-883-4960 Party/Vendor <br /> Address: PO Box 16564 City Chapel Hill State:NC Zip: 27516 Department: AMS Amount: 3500 Purpose: Engagement of Legal <br /> Services-Amendment Budget Code(s): 53530030-870000 Vendor#59251 (N/A if new vendor) Vendor is a BOCC consultant? Yes <br /> ❑No❑ Contract Type: (Check one)New❑ Renewal ® Amendment ❑ Effective Date 04/29/2013 Approved by Board Yes❑ <br /> No❑ Agenda Date: Title of Contract: Engagement for Legal Services-Amendment <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: p <br /> IT Director <br /> (Applicable only to hardware/software purchases or related services)This c tract has been reviewed and approved by the Information <br /> Technology Director as to technical content and information technol y s cifications: <br /> IT Director's Signature: Date: <br /> Risk Mana ement j:--I t7 <br /> Include the following coverages: ❑ CGL; ❑ Auto; ❑ WC; N Professional; ❑ Property; OR No Insurance Required ❑. Hold <br /> Contract pending receipt of Certificate of Insurance ❑. With hiincorporation,9f I r�s�prance provisions as sho n, this contract is approved <br /> by the Risk Manager: "`'" ..gyp i�}- TLJ�..r' *6�_S1 <br /> Risk Manager's Signature: ` Date: <br /> Financial Services <br /> This Contract is conditioned pon appropriation by the Board of Commissioners Yes❑No[� A budget amendment is necessary <br /> before approval Yes[:] NoM. 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 Acct::,_` <br /> Financial Services Director's Signature: � �t (-� !r"� Date: f o b(0 3 <br /> t0Im <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 by Managw-r:T—(Most other contracts$1,000 and above). Department Director approval only ❑ (Under <br /> $1,000). This contract has been vie we pproved by the Attorney as to legal form and sufficiency: <br /> Attorney's Signature Date: <br /> C/ County Manager <br /> This contract has been reviewed a d is app ved by the County Manager Yes No❑. <br /> This contract hays been Areviewnd fo s i natu t air es❑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 />