Orange County NC Website
ORANGE COUNTY-CONTRACT CONTROL SHEET <br /> Routing Order: (1) Department, (2)IT, (3) Risk Management, (4)Financial Services, (5)Attorney, (6)Manager, (7) ( led, <br /> This Document shall accompany all contracts and shall be submitted for signature in the Routing Order specified above. 11`1 c Manager <br /> determines the contract is not appropriate for Manager approval the Manager shall submit the contract for BOCC approval. : nu acts for <br /> BOCC approval must be submitted through,and complete,the routing process prior to agenda review. Contracts for legal rt , c\� should <br /> be completed through the legal review process prior to being routed for signature. <br /> Department <br /> Party/Vendor Name: Fun2Ref, LLC Party/Vendor Contact Person: Arlene Lynn Dunbar Contact Phone: 919-477-3533 P:ri.\ \cndor <br /> Address: 1105 Infiniti City Durham State:NC Zip: 27712 Department: DEAPR-Recreation Amount: $33,977 Purp­�c (referee <br /> Services Budget Code(s): 10511020 630000 Vendor#59066 (N/A if new vendor) Vendor is a BOCC consultant ' ) c, ❑No <br /> ® Contract Type: (Check one)New® Renewal ❑ Amendment ❑ Effective Date 7/1/2014 Approved by Board Yes[__ tip,® <br /> Agenda Date: Title of Contract: Referee Services <br /> If this is a Grant Agreement,pre-application has been approved by the Board of Commissioners Yes❑No❑. If submitted (n hid were <br /> bids/RFPs received Yes❑No❑ Bid/RFP number This contract has been reviewed and approved by the Department I i cetor as to <br /> technical content: <br /> Department Director's Signature: Date: I 125 114- <br /> IT Director <br /> (Applicable only to hardware/software purchases or related services)This contract has been reviewed and approved by the I n IM illation <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 Insu . ,-f+ -J._ <br /> Is <br /> Contract pending receipt of Certificate of Insurance E], With incorporation of Insurance provisions as show ,�t r c ril is ali�r <br /> by the Risk Manager: <br /> JUL 14 <br /> Risk Manager's Signature: (�_ — _ Date: <br /> 1-r B <br /> Financial Services y — <br /> This Contract is conditioned 9pon appropriation by the Board of Commissioners Yes❑No[ A budget amendment i, necessary <br /> before approval Yes❑ Norg. If budget amendment is necessary, please attach to this form. This instrument has been pre-u iditcd in the <br /> manner required by the Local Government Budget and Fiscal Con of Ac � u <br /> Financial Services Director's Signature: Date: <br /> 7tto <br /> County Attorney <br /> Approval by Board ❑ (Contracts $90,000.00 or more for goods or services, $250,000.00 or more for construction, (,I ail\ BOCC <br /> consultant contract). Approval by Manager (Most other contracts$1,000 and above). Department Director approval on (Under <br /> $1,000). This contract has been r viewed a roved by the Attorney as to legal form and sufficiency: <br /> Attorney's Signature "A Date: <br /> County Manager <br /> This contract lias been reviewed and is approved by the County Manager Yes' No❑. <br /> This contract has been reviewed and is to ignature by the Chair Yes❑No❑. <br /> Manager's Signature: /' Date: <br /> Clerk Tjothe Board <br /> Approved by BOCC on the day of ,20 . Submitted for Chair signature on the day of - 0 <br /> Clerk's Signature: Date: <br /> Revised March 2012 <br />