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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: CHICLE Party/Vendor Contact Person: Caterina Phillips Contact Phone: 919-933-0398 Party/Vendor Address: <br /> 101 East Weaver Street. P floor City Carrboro State:NC Zip:27510 Department:Housing/Human Rights and Community <br /> Development Amount:$990 Purpose:Assessment Test-Oral Scripts Budget Code(s):N/A Vendor# 43840 (N/A if new vendor) <br /> Vendor is a BOCC consultant? Yes❑No® Contract Type: (Check one)New® Renewal❑ Amendment ❑ Effective Date <br /> 04/01/14 Approved by Board Yes❑No® Agenda Date: Title of Contract: Contract Under$1,000.00 <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 /> I r ctor <br /> (Applicable only to hardware/software purchases or related servic contract has been reviewed and approved by the Information <br /> Technology Director as to technical content and information tec logy specifications: <br /> IT Director's Signature: Date: <br /> Risk Manazement <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 s <br /> by the Risk Manager: D <br /> Risk Manager's Signature: ��{� �"" Date: 7 7 MAR 3 1 2014 <br /> -1 Lt 7 <br /> Financial Services B <br /> This Contract is conditioned 94on appropriation by the Board of Commissioners Yes❑No[9/ A <br /> before approval Yes[:]NoM. 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: Date: / <br /> -411 <br /> County Attorney <br /> Approval by Board ❑ (Contracts over $90,000.00 for goods or services, $250,000.00 for construction, or any BOCC consultant <br /> contract). Approval bXMana& ❑ (All other contracts). This contract has been reviewed and approved by the Attorney as to legal <br /> form and sufficiency: y t Yneit� �i�i+-o1^ <br /> Attorney's Signature Date: <br /> County Manager <br /> This contract has been reviewed and is approved by the County Manager Yes❑Non. <br /> This contract has been reviewed and is to be submitted for BOCC consideration Yes❑No❑. <br /> Manager's Signature: Date: tit <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 April 2010 <br />