Orange County NC Website
aoIJ4 - 37q <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: Caterina Phillips Party/Vendor Contact Person: Same Contact Phone: 919-451-3499 Party/Vendor Address: 1403 <br /> Woodburn Road City Durham State:NC Zip:27705 Department: Amount: Purpose: Interpretation Budget Code(s): <br /> Vendor#43840 (N/A if new vendor) Vendor is a BOCC consultant? Yes❑No❑ Contract Type:(Check one)New❑ <br /> Renewal ® Amendment ❑ Effective Date July 1,2014 Approved by Board Yes❑No[] Agenda Date: Title of <br /> 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 This contract has been reviewed and approved by the Department Director as to <br /> technical content: <br /> Department Director's Signature: _ Date: 7 <br /> irect <br /> (Applicable only to hardware/so re pu ervices) contract has b e and approved by the Information <br /> Technology Director as to technical content and information t <br /> IT Director' re: Date: <br /> Risk Management DDDD //////������ <br /> Include the following coverages: ❑ CGL; ❑ Auto; ❑ WC; ❑ Professional; ❑ Property; OR Ishow,Ins ic�uired Hold <br /> Contract pending receipt of Certificate of Insurance ❑. With incorporation of Insurance provisions fpcq*& i Trlle <br /> by the Risk Manager: ''VV�r 1155 Ll 15 Risk Manager's Signature: G� Date: 7 / �P J JUL 16 2014 <br /> 111(0 <br /> Financial Services B�f <br /> This Contract is conditioned upon appropriation by the Board of Commissioners Yes❑No❑. A budget amen ent is necess <br /> before approval Yes❑ No❑. If budget amendment is necessary,please attach to this form. This instrument has been pre-audited in the <br /> manner required by the Local Governme B get and Fiscal Contr ct: <br /> Financial Services Director's Signat e- Date: �6 f <br /> County Attorney <br /> Approval by Board ❑ (Contracts $90,000. 0 or more for goods or services, $250,000.00 or more for construction, 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 bee r iewe d pproved by the Attorney as to legal form and suffici ncy <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 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 />