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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) ('Ierk <br /> This Document shall accompany all contracts and shall be submitted for signature in the Routing Order specified above. if 01c 'V1anager <br /> determines the contract is not appropriate for Manager approval the Manager shall submit the contract for BOCC approval. C,wltracts for <br /> BOCC approval must be submitted through,and complete,the routing process prior to agenda review. Contracts for legal rep i e,� should <br /> be completed through the legal review process prior to being routed for signature. <br /> Department <br /> Party/Vendor Name: Lee Anne Paulakonis Party/Vendor Contact Person: same Contact Phone: 919-619-7425 Party/Vendor .Address: <br /> 2219 Jonquil Trail City Mebane State:NC Zip:27302 Department:BOCC Amount: $13,000 Purpose: Transcription Budget Code(s): <br /> 10200020-630000 Vendor# (N/A if new vendor) Vendor is a BOCC consultant? Yes❑No[] Contract Type: i Check one) <br /> New❑ Renewal® Amendment ❑ Effective Date July 1,2014 Approved by Board Yes❑No® Agerda Date: Title of <br /> Contract: <br /> If this is a Grant Agreement,pre-application has been approved by the Board of Commissioners Yes❑No❑. If submittal 'or bid were <br /> bids/RFPs received Yes❑No❑ Bid/RFP number This contract has been reviewed and approved by the Department I) rector as to <br /> technical content: <br /> Department Director's Signature: rG�-G�- Date: <br /> a � <br /> IT Director <br /> (Applicable only to hardware/software purchases or related services)This contract has been reviewed and approved by the I n formation <br /> Technology Director as to technical content an n ormation to h lo y specifications: <br /> IT Director's Signature: <br /> Date: <br /> Risk Management <br /> Include the following coverages: ❑ CGL; ❑ Auto; ❑ WC; ❑ Professional; ❑ Property; OR No Insurance Required E. Hold <br /> Contract pending receipt of Certificate of Insurance ❑. With incorporation of Insurance provisions as shown,this contract k approved <br /> by the Risk Manager: , <br /> Risk Manager's Signature: 1 Date: <br /> Financial Services <br /> This Contract is conditioned on appropriation by the Board of Commissioners Yes❑No®. A budget amendment is necessary <br /> before approval Yes❑No[ If budget amendment is necessary,please attach to this form. This instrument has been prc-audited in the <br /> manner required by the Local Government Budgeet�/n�/d Fiscal Control Act: J <br /> Financial Services Director's Signature: eta4-d./ �J Date: <br /> County Attorney <br /> Approval by Board ❑ (Contracts $90,000.00 or more for goods or services, $250,000.00 or more for construction, ot- any BOCC <br /> consultant contract). Approval by Manager® (Most other contracts$1,000 and above). Department Director approval o111% ❑ (Under <br /> $1,000). This contract has been revie ed and appr ved 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 app ve the County Manager Yes®No❑. <br /> This contract has been reviewed a ' for ign t e by e hair N <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 />