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ORANGE COUNTY—CONTRACT CONTROL SHEET <br /> Routing Order: (i)Departmeat,(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: Farmer Foodshare Party/Vendor Contact Person: Margaret Gifford Contact Phone: Party/Vendor Address: <br /> P.O. Box 2873 City Chapel Hill State:NC Zip: 27516 Department: Finance and Administrative Services Amount: $5,000 Purpose: <br /> Outside Agency Budget Code(s): 10695050-720170 Vendor#N/A (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: cif <br /> Department Director's Signature: lxtr Jk� Date: U! Z 3 <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 Mana ement el- <br /> Include the following coverages: [trCGL; V Auto; WC; Professi nal; ❑ Property; OR No Insurance Required ❑. Hold <br /> Contract pending receipt of Certificate of Insurance 0� With incorporation of Insurance provisions as shown, this contract is approved <br /> by the Risk Manager: 4(,,AJe c a F a(r 4Q&sry 1-Lj C- c�co"6•`G.A` �,'"""q.rt-v <br /> : <br /> Risk Manager's Signature &Q V 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❑ 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: p <br /> Financial Services Director's Signature: Udwt.- Z. /4l Date: o -7 .3 <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 ManagerW(Most other contracts$1,000 and above). Department Director approval only E] (Under <br /> $1,000). This contract has b r vie a d approved by the Attorney as to legal form and suffici nc : <br /> Attorney's Signature Date: 4 , <br /> Count Manage r <br /> This contract has been reviewed and is approved by the Manager Ye o❑. <br /> This contract has been reviewed and is for si r Yes❑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 />