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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: Hillsborough Youth Athletic Association Party/Vendor Contact Person: Donnie Dement Contact Phone: 336-516- <br /> 0708 Party/Vendor Address: PO Box 577 City Hillsborough State:NC Zip: 27278 Department: DEAPR Amount: 0 Purpose: Field <br /> Lease Agreement Budget Code(s):n/a Vendor#n/a (N/A if new vendor) Vendor is a BOCC consultant? Yes❑No® Contract <br /> Type: (Check one)New ❑ Renewal ® Amendment ❑ Effective Date Approved by Board Yes❑No® Agenda Date: <br /> Title of Contract: <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: <br /> —r j1�V i� vC3Sict1 d� <br /> IT D' ector IGSt-yCcr'S <br /> (Applicable only to hardware/software purchases or relate servic s)This contract has been reviewed and of fir' Me ", Ord <br /> Technology Director as to technical content and information t ology specifications: J'a a <br /> IT Director's Signature: Date: <br /> Risk Management <br /> Include the following coverages: ❑ CGL; ❑ Auto; ❑ WC; ❑ Professional; ❑ Property; OR No Insurance Required ❑. Hold <br /> Contract pending receipt of Certificate of Insurance 0. 'Wi incorporation of Insurance provisions as shown,this contract is approved <br /> by the Risk Manager: c-e <br /> Risk Manager's Signature: <br /> 2=Q t, — Date: d l NIO <br /> Financial Services <br /> This Contract is conditioned tpon appropriation by the Board of Commissioners Yes❑Nold A budget amendment is necessary <br /> before approval Yes❑ NoIf. budget amendment is necessary, please attach to this form. This instrument has been pre-audited in the <br /> manner required by the Local Government Bu/d�geeta and Fiscal Co rol/Act: <br /> Financial Services Director's Signature: Date: l� 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 Manager2r(Most other contracts$1,000 and above). Department Director approval only ❑ (Under <br /> $1,000). This contract has been reviewed and approved by the Attorney as to legal form and sufficiency: <br /> >l <br /> Attorney's Signature Date: <br /> County Manager <br /> This contract has been reviewed a is ppr d by the Count Manager Yes No❑. <br /> This contract has been review nd i for atur the it 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 />