Orange County NC Website
PXX�j 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: Pre Trial Services Party/Vendor Contact Person: Joyce Kuhn Contact Phone: 919-245-2970 Party/Vendor <br /> Address: 106 E. Margaret Ln. City Hillsborough State:NC Zip:27278 Department: Finance&Administrative Services Amount: <br /> $95,000 Purpose: Outside Agency Budget Code(s): 10495050-710035 Vendor#29193 (N/A if new vendor) Vendor is a BOCC <br /> consultant? Yes❑No® Contract Type: (Check one)New❑ Renewal ® Amendment ❑ Effective Date July 1,2013 Approved <br /> by Board Yes®No❑ Agenda Date: June 18,2013 Title of Contract: 2013-14 Outside Agency Performance Ageement <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: w Date: <br /> Ittlz 1�, <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 ❑. Hold <br /> Contract pending receipt of Certificate of Insurance ❑. With incorporation of Insurance prov,}sions as shown, this contract is approved <br /> by the Risk Manager: �,�� f7�-,e�,� C) .." Co ,.. G1�1.-�X 0�4i d-1-a 1E 47,f e& <br /> Risk Manager's Signature: Qi Date: / <br /> Financial Services <br /> This Contract is conditioned on appropriation by the Board of Commissioners Yes❑Nol V. A budget amendment is necessary <br /> before approval Yes❑ No Q. 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 Contr I Act: <br /> Financial Services Director's Signature: 12 <br /> Id j?,g <br /> County Attorney <br /> Approval by Board K(Contracts $90,000.00 or more for goods or services, $250,000.00 or more for construction, or any BOCC <br /> consultant c)ntract). Approvalety Manager❑ (Most other contracts$1,000 and above). Department Director approval only ❑ (Under <br /> $1,000). This contract has be iew a pproved by the Attorney as to legal form and sufficiency: <br /> Attorney's Signature Date: (3 <br /> County Manager <br /> This contract has been reviewed and is approved by the County Manager Yes❑No❑. <br /> This contract has been reviewed and is for signature by the Chair 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 4 day of 20 <br /> Clerk's Signature: Date: <br /> Revised March 2012 <br />