Orange County NC Website
� <br /> ORANGE 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 iothe 0od�ropco��dahovo� If�o��anu��r | <br /> —'--'" | <br /> determines the contract im not appropriate for Manager approval the Manager shall submit the contract for BOCC approval. Contracts for <br /> BDCC 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: <br /> Contact Phone: 919-960-1670 Party/Vendor Address: 512 W.RosemM St. City Chapel Hill State:NC Zip:27516 Department: <br /> Finance&Admin. Services Amount: $6,000 Purpose:Performance Agreemen Budget Code(s): 10495050-719065 Vendor#838482 <br /> (N/A if new vendor) Vendor is a BOCC consultant? Yes 0 NoE Contract Type: (Check one)New F-1 Renewal Z Amendment <br /> F-1 Effective Date 7/1/2014 Approved by Board YesE No[] Agenda Date:6/17/2014 Title of Contract:2014-15 Outside Agenc <br /> Performance Agreement <br /> [f this iou Grant Agreement,pre-application has been approved by the Board uf Commissioners ycaFlNnFl. |f submitted for bid were <br /> hido/Rfpx received YexFlNoM Bid/RFy number This contract has been reviewed and approved hy the Department Director ao0u <br /> technical content: <br /> Department Director's Signature: Date: <br /> IT Director <br /> (Applicable only to hardwarelsoftware 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 Manazement <br /> Include the following coverages: F1 CGL; M Auto; M WC; M Professional; M Property; OR No Insurance Required M. Hold <br /> Contract pending receipt of Certificate of Insurance M. With incorporation of Insurance provisions as sho" �" t� Till 7r1% <br /> by the Risk Manager: ��17 <br /> Risk Manager's Signature: Date: -711�e AUG 18 2014 <br /> Financial Services <br /> This Contract is conditioned on appropriation by the Board of Commissioners Yes[]NoFf A budgutianiendinvilt is 111M.TsMy <br /> . If budget amendment is necessary,please attach to this form. This instrument has been pre-audited in the <br /> before approval YesE] V11 <br /> manner required by the Local Government Budget and Fiscal Contr. Act:. 4,1111 <br /> Financial Services Director's Signature: y A., Date: <br /> County Attorney <br /> Approval by Board F] (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 4anager XMost other contracts $1,000 and above). Department Director approval only M(Under <br /> $1,000). This contract has been rev w a ed by the Attorney as to legal form and sufficiency: <br /> Attorney's Signature Date: 212Jol <br /> CountV Manage <br /> This contract has been reviewed and is approved by the County Manager Yes��om. <br /> This contract has been reviewed and is signature byglie Chair YesEjNoM. <br /> Manager's Signature: Date: Z7- <br /> Clerk to the Board <br /> Approved by BOCC on the_day of 20—. Subulitted for Chair signature on the day 20_. <br /> Clerk's Signature: /Z"A Date: <br /> Revised March 2012 <br /> V <br />