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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: Shari Coveney Party/Vendor Contact Person: Linda Karcher Contact Phone: Party/Vendor Address: 95 <br /> Carson Street City Pittsboro State:NC Zip: 27312 Department: Public Health Amount: $500.00 Purpose: TRU Advisor Budget <br /> Code(s): 10412020-630000 Vendor#N/A (N/A if new vendor) Vendor is a BOCC consultant? Yes❑No® Contract Type: (Check <br /> one)New® Renewal ❑ Amendment ❑ Effective Date Septemeber 1,2013 Approved by Board Yes❑No❑ Agenda Date: <br /> Septemebr 4,2013-June 30,2014 Title of Contract: TRU Club Advisor LK <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 /> Kirector <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 provisions as shown, this contract is approved <br /> by the Risk Manager: ",a ,n. -au In�. 3 C f d s <br /> Risk Manager's Signature: Date: <br /> IZj3 <br /> Financial Services <br /> This Contract is cond' oned upon appropriation by the Board of Commissioners Yes[✓/No❑. A budget amendment is necessary <br /> before approval YesMNo❑. 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 Bud eett-a/nd,Fis'cal Control Act,: <br /> Financial Services Director's Signature: K, A /d"-' Date: IZ'S'�� <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 an BOCC <br /> consultant contract). Approval by Manager El (Most other contracts$1,000 and above). Department Director approval only an <br /> $1,000). This contract has been e we d approved by the Attorney as to legal form and sufficien y: <br /> Attorney's Signature Date: V <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_day of 20 <br /> Clerk's Signature: Date: <br /> Revised March 2012 <br />