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Licinz! <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: Evelyn Deloatch Party/Vendor Contact Person: Evelyn Deloatch Contact Phone:n/a Party/Vendor Address: 8315 <br /> Mckee Road City Durham State:NC Zip:27703 Department: Health Amount: $500 Purpose:TRU Club Advisor Budget Code(s): <br /> 10412020-630000 Vendor#52143 (N/A if new vendor) Vendor is a BOCC consultant? Yes❑No® Contract Type: (Check one) <br /> New® Renewal❑ Amendment ❑ Effective Date 9/1/13 Approved by Board Yes❑No❑ Agenda Date: Title of <br /> Contract: Tru Club Advisor ED <br /> If this is a Grant Agreement, pre-application has been approved by the Board of Commissioners Yes No If submitted for bid <br /> were bids/RFPs received Yes❑No❑ Bid/RFP number This contract has been reviewed and approved by the Department Director <br /> as to technical content: <br /> F <br /> Department Director's Signature: Date: <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 E]. 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: s-1--a/3 <br /> Risk Manager's Signature: S Date: Z R—_ ,5 <br /> Financial Services <br /> This Contract is condi '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 Budget and Fiscal Control Act: J <br /> Financial Services Director's Signature: Date: <br /> zi <br /> County Attorney <br /> Approval by Board ❑ (Contracts over $25,000.00 or any BOCC consultant contract). Approval by Manager (All contracts <br /> $25,000.00 or less with the exce ti on of BOCC consultants). This contract has been reviewed and approved by the Attorney as to legal <br /> form and sufficiency: <br /> Attorney's Signature Date: (� <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 to be submitted for BOCC consideration Yes❑No❑. <br /> Manager's Signature: Date: <br /> Clerk to the Board <br /> Submitted for Chair signature: <br /> Clerk's Signature: Date: <br /> Revised December 2009 <br />