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7 � <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: Interfaith Council for Social Service Party/Vendor Contact Person: John Dorward Contact Phone: 919-929-6380 <br /> Party/Vendor Address: 110 West Main St. City Carrboro State:NC Zip:27510 Department: Finance&Admin. Services Amount: <br /> $41,000 Purpose: Performance Agreement Budget Code(s): 10495050-710022 Vendor#800007 (N/A if new vendor) Vendor is a <br /> BOCC consultant? Yes ❑No® Contract Type: (Check one)New❑ Renewal ® Amendment ❑ Effective Date 7/l/2014 <br /> Approved by Board Yes®No[] Agenda Date: 6/17/2014 Title of Contract: 2014-15 Outside Agency Performance 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❑Non Bid/RFP number This contract has been reviewed and approved by the Department Director as to <br /> technical content: <br /> Department Director's Signature: aant, Date: �b <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 R. Hold <br /> Contract pending receipt of Certificate of Insurance ❑. With incorporation of Insurance provisions as shown,this contract is approved <br /> by the Risk Manager: / ' <br /> Risk Manager's Signature: L .a4 A �rS _ Date: <br /> 't13o —4 <br /> Financial Services <br /> This Contract is conditioned <br /> E_qpon 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 been pre-audited in the <br /> manner required by the Local Government Budget and Fiscal Control Act: <br /> Financial Services Director's Signature: If• Avc— Date: Wdif <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 any BOCC <br /> consultant contract). Approval Kmanager (Most other contracts$1,000 and above). Department Director approval only ❑ (Under <br /> $1,000). This contract has bee re 'ewe d approved by the Attorney as to legal form and sufficiency: <br /> Attorney's Signature Date: <br /> County Manager <br /> This contract has been reviewed and is approved by the County Manager Yes /NoER. <br /> This contract has been reviewed and is for signature by the Chair Yes❑No❑. -p <br /> Manager's Signature: Date: 0 l <br /> Cler o the Board <br /> Approved by BOCC on the_day of 20 . Submitted for Chair signature on the_day of ,20 <br /> Clerk's Signature: Dater te z <br /> Revised March 2012 <br />