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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: Steven Warnock Party/Vendor Contact Person: Contact Phone: Party/Vendor Address: 30 Copper <br /> Hill Court City Durham State:NC Zip:27713 Department: Aging Amount: $5,600 Purpose:MAP Budget Code(s): 10430020- <br /> 630120 Vendor#62314 (N/A if new vendor) Vendor is a BOCC consultant? Yes❑No® Contract Type:(Check one)New <br /> Renewal❑ Amendment ❑ Effective Date 2/05/14 Approved by Board Yes[]No® Agenda Date: Title of Contract: <br /> MAP Outreach Project <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 /> L11 <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 /> QQ <br /> U Pr��tir'- t� t Mana eme <br /> Include the following coverages: ❑ CGL; Auto; ❑ WC; ❑ Professional; ❑ Property; OR No Ins Hold <br /> Contract pending receipt of Certificate of Insurance ❑. With incorporation of Insurance provisions as sho LF3s Tpif <br /> by the Risk Manager: uu <br /> Risk Manager's Signature: Date: JAN 31 2013 <br /> Zi3 B <br /> Financial Services y <br /> This Contract is conditioned on appropriation by the Board of Commissioners Yes❑No[ A budget amendment is necessary <br /> before approval Yes❑No[ZIf 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: 6tqj��C.-, Date: 3 S 1 <br /> Ads <br /> County Attorney <br /> Approval by Board ❑ (Contracts $90,000.0 or more for goods or services, $250,000.00 or more for construction, or any BOCC <br /> consultant contract). Approv by Manager (Most other contracts$1,000 and above). Department Director approval only❑ (Under <br /> $1,000). This contract has be n eviewed and approved by the Attorney as to legal form and sufficiency: <br /> Attorney's Signature Date: 3 b <br /> County Manager <br /> This contract has been reviewed and i pr d by the Cou ty M pager Yes No❑. <br /> This contract has been reviewe d' or ig atur y th a' es❑No❑. <br /> Manager's Signature: / Dater <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 />