Orange County NC Website
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: University Mall Party/Vendor Contact Person: Sarah Enten Contact Phone:919.945.1900 Party/Vendor Address: <br /> 201 S.Estes Drive City Chapel Hill State:NC Zip: 27517 Department:Public Affairs Amount: $500 Purpose:Public Outreach <br /> Budget Code(s): Vendor# (N/A if new vendor) Vendor is a BOCC consultant? Yes❑No® Contract Type:(Check <br /> one)New® Renewal ❑ Amendment ❑ Effective Date 02/19/2014 Approved by Board Yes❑No❑ Agenda Date: <br /> Title of Contract:University Mall-License to use Common Area Space <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 /> 212v1zqj <br /> IT Dire or <br /> (Applicable only to hardware/software purchases or related services)Th�i§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: <br /> Risk Manager's Signature: T� � �� Date: Z <br /> 2)z <br /> Financial Services <br /> This Contract is conditioned on appropriation by the Board of Commissioners Yes❑No� A budget amendment is necessary <br /> before approval Yes❑NoT.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: <br /> Financial Services Director's Signature: Vaa thU,, Date: z <br /> County Attorney <br /> Approval by Board ❑ (Contracts $90,000.00 more for goods or services, $250,000.00 or more for construction, or any BOCC <br /> consultant contract). Approval by Managerost other contracts$1,000 and above). Department Director approval only ❑ (Under <br /> $1,000). This contract has been reviewed p an oved by the Attorney as to legal form and sufficiency: <br /> Attorney's Signature �^ Date�� <br /> County Manager FEB 2 4 2013 <br /> This contract has been reviewed and i ppr ed by he Co ty ager Yes o❑. <br /> This contract has been reviewe or natu by Chai es❑No❑. By <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 />