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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: HMW Preservation Party/Vendor Contact Person: Heather W. Slane Contact Phone: 336-207-1502 Party/Vendor <br /> Address:P.O.Box 355 City Durham State:NC Zip:27702 Department:DEAPR Amount:$2,000 Purpose:Historic Landmark <br /> Designation Report for the White Cross School Budget Code(s): 10610020 630000 Vendor#N/A (N/A if new vendor) Vendor is a <br /> BOCC consultant? Yes❑No® Contract Type: (Check one)New® Renewal❑ Amendment ❑ Effective Date 5/1/2014 <br /> Approved by Board Yes❑No® Agenda Date: Title of Contract: Landmark Report for White Cross School <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: kdco Department Director's Signature: Date: � � 1Q- <br /> `� IT Director <br /> (Applicable myo har a /softw e Vcd ateervic ) is contra as been r ie\d and roved by t Information <br /> Techno Directo to tec coon to ology s cif ations. <br /> I Directors gnature: _ 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 sho <br /> by the Risk Manager: D <br /> Risk Manager's Signature: Date MAY — 1 2014 <br /> Financial Services <br /> This Contract is conditioned on appropriation by the Board of Commissioners Yes❑No Abu B <br /> before approval Yes❑No(yIf 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: w /J� Date: 5(sl ty <br /> 515 <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 been reviewed pproved by the Attorney as to legal form and sufficiency: <br /> Attorney's Signature ^v' Date: <br /> County Manazer <br /> This contract has been reviewed and is ap v by the County Manager Yes No❑. <br /> This contract has been reviewed s f i e th C es No❑. <br /> Manager's Signature: Date:'OW <br /> Clerk to the Board <br /> Approved by BOCC on the_day of 20 Submitted for Chair signature on the_day of 120 <br /> Clerk's Signature: Date: <br /> Revised March 2012 <br />