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aC)«--3 n�c <br /> 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: Club Nova Party/Vendor Contact Person: Karen Dunn Contact Phone: Party/Vendor Address: 103-D West <br /> Main St. City Carrboro State:NC Zip: 27510 Department: Finance and Administrative Services Amount: $75,000 Purpose: Outside <br /> Agency Budget Code(s): 10495050-719048 Vendor# 805426 (N/A if new vendor) Vendor is a BOCC consultant? Yes❑No® <br /> Contract Type: (Check one)New❑ Renewal ® Amendment ❑ Effective Date July 1,2013 Approved by Board Yes®No❑ <br /> Agenda Date: June 18,2013 Title of Contract: 2013-14 Outside Agency Performance 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: a t✓ / Date: zl <br /> p g �fjj <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 /> W �Risk Management �� e'�'�``° V1i <br /> Include the following coverages: CGL; Auto; WC; Mfri-ofessional; ❑ 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:Risk Manager's Signature: "12 l./� <br /> �c '—' Dater <br /> Financial Services <br /> This Contract is conditioned jwpon 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 Act: <br /> Financial Services Director's Signature: V(,� A• 44A__ Date: ZZ l <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 Xanager 0(Most other contracts$1,000 and above). Department Director approval only ❑ (Under <br /> $1,000). This contract has been re ' wed d proved by the Attorney as to legal form and sufgfi ie y: <br /> Attorney's Signature Date: <br /> County Manazer <br /> This contract has been reviewed and is approved by the County Manager YqoNo❑. <br /> This contract has been reviewed and is for wli:� <br /> Manager's Signature: <br /> Date: <br /> ard <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 />