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�i5- 4°ty <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: Avis Barnes Party/Vendor Contact Person: Avis Barnes Contact Phone:n/a Party/Vendor Address:3113 Genlee <br /> Drive City Durham State:NC Zip:27704 Department:Health Amount:$500 Purpose: TRU Club Advisor Budget Code(s): <br /> 10412020-630000 Vendor#52313 (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 Yeso No❑ Agenda Date: Title of <br /> Contract: Tru Club Advisor AB <br /> If this is a Grant Agreement,pre-application has been approved by the Board of Commissioners Yes No If submitted forbid <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 /> Department Director's Signature: Date: "— =I3 <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 provisions as shown, this contract is approved <br /> by the Risk Manager: 44 <br /> Risk Manager's Signature: Date: <br /> l <br /> Financial Services <br /> This Contract is cond' oned upon appropriation by the Board of Commissioners Yes�lo❑. 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 Budge dd Fiscal A <br /> Financial Services Director's Signature: D <br /> `- t 45119 <br /> ate: <br /> EZ15 <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 exception of BOCC consultants). This contract h_as been reviewed and approved by the Attorney as to legal <br /> form and sufficiency: <br /> Attorney's Signature ` Date: 1 Z �• <br /> County Manager <br /> This contract has been reviewed and is approved by the County Manager Yes❑Nor-1. <br /> This contract has been reviewed and is to be submitted for BOCC consideration Yes❑No❑. <br /> Manager's Signature: Date-Y__� <br /> Clerk to the Board <br /> Submitted for Chair signature: <br /> Clerk's Signature: Date: <br /> Revised December 2009 <br />