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�b14�7a <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: Coulter,Jewell,Thames, PA Party/Vendor Contact Person: Jeff Williams Contact Phone:919-688-0368 <br /> ParryNendor Address: 1 I 1 West Main St City Durham State:NC Zip: 27701 Department:DEAPR Amount: 12,000 Purpose:T--po <br /> Survey Budget Code(s): 61370035 20027 870000 Vendor#54067 (N/A if new vendor) Vendor is a BOCC consultant? Yes❑No <br /> 2 Contract Type: (Check one)New® Renewal❑ Amendment ❑ Effective Date June 2,2014 Approved by Board Yes❑No® <br /> Agenda Date: Title of Contract: <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 N/AThis contract has been reviewed and approved by the Department Director as to <br /> tec�inical content: <br /> Department Director's Signature: Date: (P <br /> XservicThis <br /> (Applicable only to hardware/software purchases or related ontract has been revi ewed and approved by the Information <br /> Technology Director as to technical content and informatioifications: <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 showl i act is approved <br /> by the Risk Manager: <br /> Risk Manager's Signature: C.i Date: <br /> JUN -9 2014 <br /> Financial Services <br /> This Contract is conditioned on appropriation by the Board of Commissioners Yes❑No A budg <br /> L before approval Yes❑No If budget amendment is necessary,please attach to this form. This instrument has �eee-a e <br /> manner required by the Local Government Budget and Fiscal Control t: <br /> Financial Services Director's Signature: C.� J Date: b ! <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❑ ( der <br /> $1,000). This contract has been rev' wed and, by the Attorney as to legal form and sufficiency: �� <br /> Attorney's Signature Date: G ` <br /> County Manager <br /> This contract has been reviewed and is ap ov by the County Manager Yes No❑. <br /> Th s contract has been reviewed is fo si ure the it Y ❑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 /> Cl::rk's Signature: Date: <br /> Revised March 2012 <br />