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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 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: Senior Care of Orange County,Inc Party/Vendor Contact Person: Alvonia Baldwin Contact Phone: 919-245-2017 <br /> Party/Vendor Address:P.O.Box 8181 City Hillsborough State:NC Zip:27278 Department:DSS Amount: $20,000 Purpose: Provide <br /> Adult Day Health Services to DSS clients Budget Code(s): 10405020-764100 Vendor# (N/A if new vendor) Vendor is a <br /> BOCC consultant? Yes❑No❑ Contract Type: (Check one)New❑ Renewal® Amendment ❑ Effective Date 07/01/14 <br /> Approved by Board Yes[]No❑ Agenda Date: Title of Contract: Senior Care of Orange Coun ,Inc. <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: n7—olS`/µ <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 Ins u auce old <br /> Contract pending receipt of Certificate of Insurance ❑. With incorporation of Insurance provisions as shows Rl i�c i is aTrt� <br /> by the Risk Manager: U <br /> Risk Manager's Signature: Date: JUL 2 9 2014 <br /> Financial Services By <br /> This Contract is conditioneVi on appropriation by the Board of Commissioners Yes❑No(( A budget amendment is necessary <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 Budge and Fiscal Contr Act: <br /> 3 / <br /> Financial Services Director's Signature: N!2_W V,/Q Date: r <br /> 11-so <br /> County Attorney <br /> Approval by Board ❑ (Contracts $90,000.0p or more for goods or services, $250,000.00 or more for construction, or any BOCC <br /> consultant contract). Approval by a ager Pq (Most other contracts$1,000 and above). Department Director approval only ❑(Under <br /> $1,000). This contract has been rei roved by the Attorney as to legal form and sufficie cy: <br /> Attorney's Signature Date: 3) <br /> County Manaeer <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: - - 1 Date: r <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 />