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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: Preservation Chapel Hill Party/Vendor Contact Person: Cheri Szcodronski,Executive Director Contact Phone: <br /> (919)942-7818 Party/Vendor Address: 610 East Rosemary St. City Chapel Hill State:NC Zip:27514 Department:DEAPR Amount: <br /> $975.00 Purpose:Historic Landmark Designation Report for the John Hackney House Budget Code(s): 10610020 630000 Vendor# <br /> N/A (N/A if new vendor) Vendor is a BOCC consultant? Yes❑No® Contract Type: (Check one)New® Renewal❑ <br /> Amendment ❑ Effective Date May 1,2014 Approved by Board Yes❑No® Agenda Date: Title of Contract:Landmark <br /> Report for John Hackney House <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❑Non 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: 2I 4— <br /> IT Director <br /> (Appli $le`only to ar software p c ses'forZnati ted se is This ontr"a t,has bee a wed t he Info ation <br /> Tech oloy Dire or as to chnical co ent an chnology ecification� <br /> /Direct'o s Sigma e: 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 El. With incorporation of Insurance provisions as sl town,this contract is ap oved <br /> by the Risk Manager: D � 0 � D U <br /> Risk Manager's Signature: Date: MAY _ 1 2014 <br /> Financial Services <br /> This Contract is conditionedaypon appropriation by the Board of Commissioners Yes❑Nod A ftd amendment is necess <br /> before approval Yes[:]NoM. If budget amendment is necessary,please attach to this form. This instrument has been pre-auditect in me <br /> manner required by the Local Government Budget and Fiscal Control Act: <br /> A 4 Financial Services Director's Signature: `�-�4r t, All Date: 5 U61 <br /> 513 <br /> County Attorney <br /> Approval by Board ❑ (Contracts $90,000.00 or more for goods or services, $250,000.00 or more for constructior 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 been reviewed and approved by the Attorney as to legal form and sufficiency: <br /> Attorney's Signature - Date: <br /> s <br /> IV <br /> County Manager <br /> This contract has been reviewed and is approved by the County Manager Yes❑No❑. <br /> This contract has been reviewed and is for signature by the Chair Yes❑No❑. <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 />