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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: CCAP,Inc. Party/Vendor Contact Person: Kim Stafford Contact Phone:(910)485-7479 Party/Vendor Address: <br /> 316 Green St City Fayetteville State:NC Zip:28302 Department: Aging-RSVP Amount: $8,085 Purpose:VITA Budget Code(s): <br /> 10434005-448905 Vendor#N/A (N/A if new vendor) Vendor is a BOCC consultant? Yes❑No® Contract Type:(Check one) <br /> New® Renewal❑ Amendment ❑ Effective Date Approved by Board Yes[]No❑ Agenda Date: Title of <br /> Contract: <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: -I <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 Mana¢ement <br /> Include the following coverages: ❑ CGL; ❑ Auto; ❑ WC; ❑ Professional; ❑ Property; OR No Insurance Re uired ❑. Hold <br /> Contract pending receipt of Certificate of Insurance E]. With incorporation of Insurance provisions as shown,t i� �ti�t Na]pirye� <br /> by the Risk Manager: l� 1111 UU <br /> Risk Manager's Signature: Date: a V /� FEB 10 2013 <br /> -Vila <br /> Financial Services By <br /> This Contract is conditioned on appropriation by the Board of Commissioners Yes❑No❑" A budget amen ment - 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_ � <br /> Act: � <br /> Financial Services Director's Signature: (/�, �`� /n/ Date: 2-11 1 y <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 t(Most other contracts$1,000 and above). Department Director approval only ❑ (Under <br /> $1,000). This contract has Nen re i w d and approved by the Attorney to 1ggal form and of ic'enc : <br /> I�kk pe✓ e+m�p 06^1M I�I�X MCl/ '� ► L'►� �pl°r'a� 1nc� rW-fcJ6 <br /> Attorney's Signature Date: I <br /> County Manager <br /> This contract has been reviewed and is anproved by the County Manager Yes lo❑. <br /> This contract has been reviewed is f s' n ure b e C Ye No❑. <br /> Manager's Signature: Date: .e <br /> Clerk to the Board <br /> Approved by BOCC on the_day of 120 Submitted for Chair signature on the_day of ,20 <br /> Clerk's Signature: Date: <br /> Revised March 2012 <br />