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-89NGE 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: NCDOT Party/Vendor Contact Person: Marta Matthews Contact Phone:(919)707-6626 Party/Vendor Address: <br /> 1595 Mail Service Center City Raleigh State:NC Zip:27699-1595 Department: Local Programs Management Office Amount: <br /> $130,680 Purpose:Grant for Hillsborough Circulator Operating Assistance Budget Code(s): 10435005 445008 Vendor#N/A (N/A if <br /> new vendor) Vendor is a BOCC consultant? Yes❑No® Contract Type: (Check one)New❑ Renewal❑ Amendment <br /> Effective Date Approved by Board Yes®No❑ Agenda Date: 09/17/2013 Title of Contract: Supplemental Agreement for <br /> CMAQ Grant Extension <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: /I <br /> Department Director's Signature: t` Date: <br /> C,, <br /> IT Direct <br /> (Applicable only to hardware/software purchases or related servic T is contract has been reviewed and approved by the Information <br /> Technology Director as to technical content and information techn�l y specifications: <br /> IT Director's Signature: Date: <br /> Risk Mana ement <br /> Include the following coverages: ❑ CGL; ❑ Auto; ❑ WC; ❑ Professional; ❑ Property; OR No Insurance Required ❑. Hold <br /> Contract pending receipt of Certificate of Insurance E]. With incorporation of Insurance provisions as shown,this contract is approved <br /> by the Risk Manager: w e.'L--t-d 6L-p p t--^� rrP.M ' <br /> Risk Manager's Signature: �t.,.-�— Date: <br /> lalzFT 11 1 <br /> Financial Services <br /> This Contract is conditioned on appropriation by the Board of Commissioners Yes❑Nom/ 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 Act: <br /> Financial Services Director's Signature: ? h.,l_C14W / ""b`" Date: 10 13 <br /> l olz� <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 ManagerL�rMost other contracts$1,000 and above). Department Director approval only❑ (Under <br /> $1,000). This contract has been riewedan-a'p�sraved by the Attorney as to legal form and sufficiency: <br /> Attorney's Signature t —// Date: <br /> County Manager <br /> This contract has been reviewed d app ved by the County Manager Ye o❑. <br /> This contract has been review nd for si natur the 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 />