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I -- �SS <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. 11 the Manager <br /> determines the contract is not appropriate for Manager approval the Manager shall submit the contract for BOCC approval. t_'ontracts for <br /> BOCC approval must be submitted through,and complete,the routing process prior to agenda review. Contracts for legal re'ie\+ should <br /> be completed through the legal review process prior to being routed for signature. <br /> Department <br /> Party/Vendor Name: Holcomb and Cabe,L.L.P. Party/Vendor Contact Person: Carol Holcomb Contact Phone: 919-928-`'701 <br /> Party/Vendor Address:2013 S.Lakeshaore Dr City Chapel Hill State:NC Zip: 27514 Department:DSS Amount: $165,000 Purpose: <br /> Legal consultation regarding child welfare issues Budget Code(s): 10400220-634000 Vendor# (N/A if new vendor) Vendor is <br /> a BOCC consultant? Yes❑No® Contract Type:(C ec one)New❑ Renewal® Amendment ❑ Effective Date 07_"'1 1-t_ <br /> Approved by Board Yes©No❑ Agenda Date: f5Title of Contract:Holcomb and Cabe,L.L.P. <br /> If this is a Grant Agreement,pre-application has been a p ved by the Board of Commissioners Yes❑No❑. If submitted for bid were <br /> bids/RFPs received Yes❑No❑ Bid/RFP number This contract has been reviewed and approved by the I►epartmerri I)i rector as to <br /> technical content: <br /> Department Director's Signature: Date: 01-Oa'jq <br /> IT Director <br /> (Applicable only to hardware/software purchases or related services)This contract has been reviewed and approved by the 111 tormation <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 In ir_4d <br /> Contract pending receipt of Certificate of Insurance ❑. With incorporation of Insurance provisions as sho,LJI Pict is ap <br /> by the Risk Manager: <br /> JUL <br /> Risk Manager's Signature: J�_� Date: <br /> 7 10 _ <br /> Financial Services By <br /> This Contract is conditioned n appropriation by the Board of Commissioners Yes❑No[+]/ A budget amendment rs necessary <br /> before approval Yes❑No[�Ifbudget amendment is necessary,please attach to this form. This instrument has been pre-anidited in the <br /> manner required by the Local Government Budget and Fiscal Control Act: <br /> Financial Services Director's Signature: (�( t e'�--i+-'' � Date: �� 1 <br /> 7110 <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 Mana r (Most other contracts$1,000 and above). Department Director approval only ❑ (Under <br /> $1,000). This contract has be r iew approved by the Attorney as to legal form and sufficiency <br /> Attorney's Signature Date: 114- <br /> County Manager <br /> This contract has been reviewed and is approved by the County Manager Yes[ Non. <br /> This contract has been reviewed and is for signature by the Chair Yes❑No❑. <br /> Manager's Signature: '�+ y' Date: �Y <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 />