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��.-- 137 <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: Transit Advertising Party/Vendor Contact Person: Chip Hutchinson Contact Phone: 919-696-4951 Party/Vendor <br /> Address: 6900 Millhouse Rd City Chapel Hill State:NC Zip:27516 Department:Public Health Amount: $3498.00 Purpose:Town of <br /> Chapel Hill shall provide advertising,for OCHD Budget Code(s): 10412020-680050 Vendor#41530 (N/A if new vendor) Vendor is <br /> a BOCC consultant? Yes ❑No® Contract Type: (Check one)New® Renewal ❑ Amendment ❑ Effective Date <br /> Approved by Board Yes❑No❑ Agenda Date: Title of Contract: Transit Advertising <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: t� <br /> Department Director's Signature: Date: <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: <br /> Risk Manager's Signature: -<< (/ (���-� Date: D <br /> Financial Services FEB - 7 2013 <br /> This Contract is conditioned u n appropriation by the Board of Commissioners Yes❑NoR. A budge endment is necessary <br /> before approval Yes❑No[V. If budget amendment is necessary,please attach to this form. This instrument s been pre-audited in the <br /> manner required by the Local Government Bud et and Fiscal Contr 1 Ac : BY <br /> it Date: Z Financial Services D ec tor's Si gnature: aaqwu <br /> -2111 <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 bee r iewe d approved by the Attorney as to legal form and sufficiency: <br /> Attorney's Signature Date: <br /> County Manager <br /> This contract has been reviewed and is ppr ed by the County Manager Yes o❑- <br /> This contract has been reviewe d i or natur y hai es❑No <br /> Manager's Signature: Date: <br /> Clerk to the Board /� <br /> Approved b BOCC on the day of 20 Submitt for air signature on the day" Y ,20 <br /> APP Y — Y <br /> Clerk's Signature:_ Date: l <br /> Revised March 2012 <br />