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,5�014- --� <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: Freedom House Recovery Center Party/Vendor Contact Person: Trish Hussey Contact Phone: 919-942-2803 <br /> Party/Vendor Address: 104 New Stateside Dr. City Chapel Hill State:NC Zip:27516 Department: Finance&Admin. Services <br /> Amount: $29,000 Purpose: Performance Agreement Budget Code(s): 10495050-710037 Vendor#800030 (N/A if new vendor) <br /> Vendor is a BOCC consultant? Yes ❑No® Contract Type: (Check one)New ❑ Renewal® Amendment ❑ Effective Date <br /> 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: Date: <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 ❑. Hold <br /> Contract pending receipt of Certificate of Insurance ❑. With incorporation of Insurance provisions as shol I t c sip <br /> by the Risk Manager: D u <br /> Risk Manager's Signature: � �.e r Date: AUG 19 2014 <br /> Financial Services By <br /> This Contract is conditioned pon appropriation by the Board of Commissioners Yes❑No A bu <br /> before approval Yes❑ No . If budget amendment is necessary,please attach to this form. This instrument has een pre-audited in the <br /> manner required by the Local Government Bud t nd Fiscal g Control <br /> Financial Services Director's Signature: 4--t- Z7' A, Date: 1 <br /> County Attorney <br /> Approval by Board ❑ (Contracts 0,000.00 or more for goods or services, $250,000.00 or more for construction, or any BOCC <br /> consultant contract). Approval by na er (Most other contracts$1,000 and above). Department Director approval only ❑ (Under <br /> $1,000). This contract has been revi w and approved 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 YesaKol'o. <br /> This contract has been reviewed and i r signature by the Chair Yes❑No❑. <br /> Manager's Signature: Date: /Lf <br /> Clerk to a Board <br /> Approved by BOCC on the day of 20 . Submitted for Chair signature on day of 120 <br /> 7z, <br /> Clerk's Signature: Date: v <br /> IV g 6, <br /> Revised March 2012 <br />