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c -z1l6 <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: Rachel Wilbur Party/Vendor Contact Person: same Contact Phone: Party/Vendor Address:225 E Corbin <br /> St City Hillsboroueh State:NC Zip:27278 Department:Aging Amount: $3,000.00 Purpose:MAP housiny,initiati a Budget Code(s): <br /> 10430020-630120 Vendor#62469 (N/A if new vendor) Vendor is a BOCC consultant? Yes❑No® Contract type:(Check one) <br /> New® Renewal❑ Amendment ❑ Effective Date 05/20/14 Approved by Board Yes❑No® Agenda D�te: Title of <br /> Contract: Master Aging Plan I� <br /> If this is a Grant Agreement,pre-application has been approved by the Board of Commissioners Yes❑No❑.,/'Tf 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: if,-/o-if <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 sh ,fflifpglag igpT <br /> by the Risk Manager: T LL;; <br /> �+Risk Manager's Signature: Date: MAY 19 2014 <br /> Financial Services By 'P"Al <br /> This Contract is conditioned on appropriation by the Board of Commissioners Yes❑No[E/ A bu get amen <br /> before approval Yes❑Noy.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: Wave,,,,u' �/�'L� Date: <br /> 5120 <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 Manager (Most other contracts$1,000 and above). Department Director approval only❑ (Under <br /> $1,000). This contract has bee r ' wed and 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 a p ve the County Manager Yes o❑. <br /> This contract has been reviewed a ' for 'gn t e b th C ' Y No[]. <br /> Manager's Signature: Date: <br /> OE <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 />