Orange County NC Website
aa1-,-4 -A 6 � 1 ?1,jbIq�_ <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: Historical Foundation of Hillsborough and Orange County Party/Vendor Contact Person: Brandie Fields Contact <br /> Phone: 919-732-2201 Party/Vendor Address: 201 N. Churton St. City Hillsborough State:NC Zip: 27278 Department:Finance& <br /> Admin. Services Amount: $6,000 Purpose: Performance Agreement Budget Code(s): 10519550-710007 Vendor#3657 (N/A if new <br /> vendor) Vendor is a BOCC consultant? Yes ❑No® Contract Type: (Check one)New ❑ Renewal® Amendment ❑ Effective <br /> Date 7/1/2014 Approved by Board Yes®No❑ Agenda Date: 6/17/2014 Title of Contract: 2014-15 Outside Agency Performance <br /> 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: l/C &11I�� �, M�`—" Date: Vr ly <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 /> R' c Management <br /> Include the following coverages: VCGL; uto; C; ❑ Professional; ❑ Property; OR No Insurance Required El. 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: Date: e(k <br /> Financial Services <br /> This Contract is conditioned on appropriation by the Board of Commissioners Yes❑No[� A budget amendment is necessary <br /> before approval Yes❑No[y.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: 'I <br /> Financial Services Director's Signature: /0- Date: f 7 <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 by Manager A(Most other contracts $1,000 and above). Department Director approval only ❑ (Under <br /> $1,000). This contract has b r v roved by the Attorney as to legal form and sufficiency: <br /> Attorney's Signature Date: 6 <br /> County Manager <br /> This contract has been reviewed and is approved b the County Manager Yes No❑. <br /> pP Y ty g <br /> This contract has been reviewed and is f ign re b e Chair Yes❑No❑. <br /> g <br /> er <br /> Mana g 's Signature: Date: ` a <br /> Clerk to the Board <br /> Approved by BOCC on the_day of 20 . Subm' C it signature on the da of ,20 <br /> Clerk's Signature: Date: <br /> Revised March 2012 <br />