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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)Clerk <br /> This Document shall accompany all contracts and shall be submitted for signature in the Routing Order specifies 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 /> jo' <br /> Department <br /> Party/Vendor Name: Information,Inc Party/Vendor Contact Person: Michael Bradley Contact Phone: Party/Vendor Address: <br /> 9961 NC Hwy 87N City Pittsboro State:NC Zip:27312 Department:DSS Amount: 60-600 Purpose:NC Daysheet maintenance <br /> Budget Code(s): 10400120-63000 Vendor# (N/A if new vendor) Vendor is a BOCC consultant? Yes ❑No® Contract <br /> Type:(Check one)New ❑ Renewal® Amendment ❑ Effective Date Approved by Board Yes❑No[] Agenda Date: <br /> Title of Contract:NC Day Sheet Maintenance Agreement <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 Manaeement <br /> Include the following coverages: ❑ CGL; ❑ Auto; ❑ WC; ❑ Professional; ❑ Property; OR No Insurance Required ❑. Hold <br /> Contract pending receipt of Certificate of Insurance E]. With incorporation of Insurance provisions as sh <br /> by the Risk Manager: O <br /> 6 Risk Manager's Signature: J�, o Dater JUL 16 2014 <br /> Financial Services Bv <br /> This Contract is conditioned upon appropriation by the Board of Commissioners Yes❑No❑. A bu <br /> before approval Yes❑No❑. If budget amendment is necessary,please attach to this form. This instrument has bee re-audited in the <br /> manner required by the Local Government Budget and Fiscal Control A t: 8`I `fool,"I c <br /> Financial Services Director's Signature D e: L17 <br /> to l8y <br /> L> <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 arly BOCC <br /> consultant contract). AManager❑ (Most other contracts$1,000 and above). Department Director approval only (Under <br /> $1,000). This contrachas a reviewed and approved by the Attorney as to legal form and sufficiency: <br /> Attorney's Signature <br /> Date: <br /> County Manager <br /> This contract has been reviewed and is approved by the County Manager Ye No❑. <br /> This contract has been reviewed and„ for signature by the Chair Yes❑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 /> Clerk's Signature: Date: <br /> Revised March 2012 <br />