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---)p - llt <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. V <br /> Department , <br /> Pa Nendor Name: Visser Proiect Management Consulting Services Party/Vendor Contact Person: Rod Visser Contact Phone: 919- ' <br /> rh' -J � g <br /> 929-9516 Party/Vendor Address: 104 Sturbridge Lane City Chapel Hill State:NC Zip:27516 Department:BOCC Amount:Not to <br /> exceed$5000.00 Purpose:BOCC retreat facilitation Budget Code(s): Vendor# (N/A if new vendor) Vendor is a <br /> BOCC consultant? Yes❑No® Contract Type:(Check one)New® Renewal❑ Amendment ❑ Effective Date December 1 <br /> Approved by Board Yes❑No[V Agenda Date: Title of Contract: <br /> If this is a Grant Agreement,pre-Application has been approved by the Board of Commissioners Yes❑Nom. 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: / 7 <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:1\� 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: <br /> Risk Manager's Signature: Qlis— f--P Dater <br /> Financial Services <br /> This Contract is conditioned upon appropriation by the Board of Commissioners Yes❑No®. 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 Budget and Fiscal Control A A ct: r <br /> Financial Services Directors Signature: Date: <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 Manager® (Most other contracts$1,000 and above). Department Director approval only❑(Under <br /> $1,000). This contract has been rev :wed ap ved by the Attorney as to legal form and sufficiency: <br /> Attorney's Signature ---- Date: <br /> County Manager <br /> This contract has been reviewed and i ppr ved by the County Manager Yes No❑. <br /> This contract has been review an fo s'gnatur y t a' es❑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 />