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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 /> „�4', <br /> Deaartment ll��1 ti-� <br /> Party/Vendor Name: Town of Hillsborough Party/Vendor Contact Person: Contact Phone: Party/Vendor Address: <br /> City State: Zip: Department: Planning Amount: $23,00 urpose: Bus Service Budget Code(s): Vendor# <br /> (N/A if new vendor) Vendor is a BOCC consultant? Yes❑No❑ ontract Type: (Check one)New ❑ Renewal ❑ <br /> Amendment ® Effective Date Approved by Board Yes®No[] Agenda Date:October 1,2013 Title of Contract: <br /> Memorandum of 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 T ' contract has been reviewed and approved by the Department Director as to <br /> technical content: <br /> Department Director's Signature: Date: A2 <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 El. 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: 12A_ Date:e[ <br /> Financial Services <br /> This Contract is conditioned LXon appropriation by the Board of Commissioners Yes❑Nov A budget amendment is necessary <br /> before approval YesE] NoEZ. 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: a.4', Dater <br /> 1010 <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 Manager (Most other contracts $1,000 and above). Department Director approval only ❑ (Under <br /> $1,000). This contract has been re iewed and approved by the Attorney as to legal form and sufficiency: <br /> Attorney's Signature A- Date: <br /> County Manager <br /> This contract has been reviewed and is approved by the County Manager Yes[✓ No❑. <br /> This contract has been reviewe n s f s' n re by C it Yes❑No❑. <br /> Manager's Signature: Date: <br /> Clerk to the Board <br /> Approved by BOCC on the_day of 120 Submitted for Chair signature on the_day of 20 <br /> Clerk's Signature: Date: <br /> Revised March 2012 <br />