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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: Orange Congregations in Mission Party/Vendor Contact Person: Sharon S.Freeland Contact Phone: 919-732- <br /> 6194 Party/Vendor Address: 300 Millstone Dr. City Hillsborough State:NC Zip:27278 Department:Finance&Admin. Services <br /> Amount: $41,000 Purpose:Performance Agreement Budget Code(s): 10495050-710031 Vendor# 800010 (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 sho Meenpre-a pproved <br /> by the Risk Manager: R Risk Manager's Signature: Date: / ? 14 Finan cial Services <br /> This Contract is conditioned u on appropriation by the Board of Commissioners Yes❑No� Abu ecessa <br /> before approval Yes❑ No�f budget amendment is necessary, please attach to this form. This instrume <br /> manner required by the Local Government Budget and Fiscal Control Act: p� <br /> Financial Services Director's Signature: ,--I Date: !i <br /> 81 i;� <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 b anager (Most other contracts$1,000 and above). Department Director approval only ❑ (Under <br /> $1,000). This contract has been e i wed and approved by the Attorney as to legal form and sufficciie cy: <br /> Attorney's Signature Date: O Z� <br /> County Manager <br /> This contract has been reviewed and is approved by the County Manager Yes No❑. <br /> This contract has been reviewed and i r si ture by the Chair Yes❑No❑. <br /> Manager's Signature: Date: �� 1 <br /> Clerk to the Board <br /> Approved by BOCC on the day of 20 S d for Chair signature on th day of 20 <br /> Clerk's Signature: Date: <br /> Revised March 2012 <br />