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teal <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. 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: Orange County Speedway Management,LLC Party/Vendor Contact Person: Terry Deal Contact Phone: <br /> Party/Vendor Address:9740 NC Hwy 57 City Rougemont State:NC Zip:27572 Department:Emergency Services Amount:� <br /> Purpose:EMS Standby during Races Budget Code(s): Vendor# (N/A if new vendor) Vendor i 3 a BOCC consultant? <br /> Yes❑No® Contract Type: (Check one)New❑ Renewal❑ Amendment ❑ Effective Date Approved by Board Yes❑ <br /> No❑ Agenda Date: Title of Contract: <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 Thi contract has been reviewed and approved by the Department Director as to <br /> technical content: r� <br /> Department Director's Signatur Date: l <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 No Insurance Required ❑. Hold <br /> Contract pending receipt of Certificate of Insurance ❑. With incorporation of Insurance provisions as show <br /> by the Risk Manager: D 'Tun TY <br /> Risk Manager's Signature: Date: APR — 2014 <br /> Financial Services <br /> This Contract is conditioned u n appropriation by the Board of Commissioners Yes❑No[� A budg <br /> before approval Yes❑No�f budget amendment is necessary,please attach to this form. This.instrument has been pre-audited in the <br /> manner required by the Local Government Budget and Fiscal Control Act: <br /> Financial Services Director's,Signature: l )) . / Date: l7 <br /> County Attorney <br /> Approval by Board ❑ (Contracts $90,000 00 or more for goods or services, $250,000.00 or more for cor struction, or any BOCC <br /> consultant contract). Approval Manager((Most other contracts$1,000 and above). Department Director approval only❑ (Under <br /> $1,000). This contract has be r iew a approved by the Attorney as to legal form and suffic'ency: <br /> Attorney's Signature Date: <br /> County Manager <br /> This contract has been reviewed and is approved by the County Manager Yes No❑. <br /> This contract has been reviewed and is to signat 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 />