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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: Town of Carrboro Fire-Rescue Department Party/Vendor Contact Person: Chief Travis Crabtree Contact Phone: <br /> (919)918-7348 Party/Vendor Address: 301 W.Main Street and 1411 Homestead Road City Carrboro State:NC Zip:27510 <br /> Department: Orange County Emergency Services Amount: 0.00 Purpose: Budget Code(s): Vendor# (N/A if new <br /> vendor) Vendor is a BOCC consultant? Yes❑No❑ Contract Type: (Check one)New❑ Renewal❑ Amendment <br /> ❑ Effective <br /> Date Approved by Board Yes❑No❑ Agenda Date- Title of Contract: <br /> If this is a Grant Agreement,pre-application has been approve the Board of Commissioners Yes❑No❑. If submitted for bid were <br /> bids/RFPs received Yes❑No❑ Bid/RFP b T ' ntract has been reviewed and approved by the Department Director as to <br /> technical content: <br /> Department Director's Signature: Date: <br /> IT Director <br /> (Applicable only to hardware/software rchases 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 <br /> by the Risk Manager: D Q <br /> Risk Manager's Signature: a �J.O Date: MAY 3 O 20I4 <br /> Sly <br /> Financial Services <br /> This Contract is conditioned u n appropriation by the Board of Commissioners Yes❑No[g/ A b <br /> before approval Yes❑No�f 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: r// <br /> Financial Services Director's Signature: �C 1J� / Date: t/6 <br /> 1,1z. <br /> County Attorney <br /> Approval by Board ❑ (Contracts $90,000 0 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 J'aree, ie w approved by the Attorney as to legal form and sufficiency: <br /> Attorney's Signature Date: U'st 4 <br /> County Manager <br /> This contract has been reviewed and is appr d e County Manager Yes No❑. <br /> This contract has been revieweN <br /> Manager's Signature: Date: <br /> Clerk to the Board <br /> Approved by BOCC on the day of 120 Submitted for Chair signature on the_day of ,20 <br /> Clerk's Signature: Date: <br /> Revised March 2012 <br />