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)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: Katherine Leith Party/Vendor Contact Person: same Contact Phone: Party/Vendor Address:36 Clover <br /> Drive City Chapel Hill State:NC Zip:27517 Department: Aging Amount: $4,000.00 Purpose: Senior Times Editor Budget Code(s): <br /> 10430120-63-29000 Vendor#52922 (N/A if new vendor) Vendor is a BOCC consultant? Yes❑No® Contract Type: (Check one) <br /> New❑ Renewal ® Amendment ❑ Effective Date 07/11/14 Approved by Board Yes❑No® Agenda Date: Title of <br /> Contract: Senior Times Editor <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 This contract 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 purchases 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 old <br /> Contract pending receipt of Certificate of Insurance ❑. With incorporation of Insurance provisions a r i tr t a ved <br /> by the Risk Manager: <br /> U_ 11 2014 <br /> Risk Manager's Signature: �'"r Date: <br /> '1114 By- <br /> Financial <br /> Services <br /> This Contract is conditioned upon 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 en pre-audited in the <br /> manner required by the Local Government Budget and Fiscal Control Act: 7 9 <br /> Financial Services Director's Signatu . 7 DateCW° <br /> County Attorney f efQv1G6:r v)RLG'o <br /> Approval by Board ❑ (Contracts 000.-0Q or more for goods or services, $250,000.00 or more for construction, or any BOCC <br /> consultant contract). Approval by ana r (Most other contracts$1,000 and above). Department Director approval only❑ (Under <br /> $1,000). This contract has been re ie a nd approved by the Attorney as to legal form and suff�ic7i <br /> Attorney's Signature Date: `L <br /> County Manager <br /> This contract has been reviewed and is approved by the County Manager Yes fNo❑. <br /> This contract has been reviewed and is for signature by the Chair Yes❑No❑. <br /> Manager's Signature: ryr 6' �' Date: l r <br /> s <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 />