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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: NC Division of Aging and Adult Services Party/Vendor Contact Person: Melvinna Adams Contact Phone:919- <br /> 855-3438 Party/Vendor Address: 693 Palmer Drive City Raleigh State:NC Zip:27699 Department:Aging Amount: $25,000 <br /> Purpose:Caregiver Support Training Grant Budget Code(s): 10432005-444121-71087 Vendor#56275 (N/A if new vendor) Vendor <br /> is a BOCC consultant? Yes❑No® Contract Type: (Check one)New❑ Renewal® Amendment ❑ Effective Date 03/21/14 <br /> Approved by Board Yes❑No❑ Agenda Date: Title of Contract:Amendment <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: 3 <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 proviAah Zpre-audited <br /> by the Risk Manager: <br /> Risk Manager's Signature: � Date:.Financial Services <br /> This Contract is conditioned u on appropriation by the Board of Commissioners Yes❑No[ <br /> before approval Yes❑No�If budget amendment is necessary,please attach to this form. This instrument ha <br /> manner required by the Local Government Budget and Fiscal Control Act:: <br /> j Financial Services Director's Signature: �'J• .�'V� Date: -31a l I g <br /> -417 <br /> County Attorney <br /> Approval by Board ❑ (Contracts $90,00Q.00 or more for goods or services, $250,000.00 or more for construction, or any BOCC <br /> consultant contract). Approval Manager D(Most other contracts$1,000 and above). Department Director approval only❑ (Under <br /> $1,000). This contract has beer r iew 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 ' ap rov y the Coun Mana er Yes o❑. <br /> This contract has been reviewed is f si ure e it rNoEl. <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 />