Orange County NC Website
D <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: Chapel Hill Training Outreach Project Inc/KidSCopee Party/Vendor Contact Person: Mike Mathers Contact <br /> Phone: 919-644-6590 x4810 Party/Vendor Address: 500 North Nash St. City Hillsborough State:NC Zip: 27278 Department: Finance <br /> &Admin. Services Amount: $75,000 Purpose:Performance Agreement Budget Code(s): 10495050-710015 Vendor#800060 (N/A if <br /> new vendor) Vendor is a BOCC consultant? Yes ❑No® Contract Type: (Check one)New❑ Renewal ® Amendment ❑ <br /> Effective Date 7/1/2014 Approved by Board Yes®No❑ Agenda Date: 6/17/2014 Title of Contract:2014-15 Outside Agency <br /> 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❑No❑ Bid/RFP number This contract has been reviewed and approved by the Department Director as to <br /> technical content: f e <br /> Department Director's Signature:��(vG�.!.�/ Date: / Y' <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 Manazement <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 shown, this contract is approved <br /> by the Risk Manager: <br /> Risk Manager's Signature: Date: ' <br /> Financial Services <br /> This Contract is conditioned on appropriation by the Board of Commissioners Yes❑NoV 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: W A Date: Z� <br /> sin <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 M er (Most other contracts$1,000 and above). Department Director approval only ❑ (Under <br /> $1,000). This contract has been revje e nd approved by the Attorney as to legal form and sufficiency: <br /> Attorney's Signature Date: 1 <br /> County Manager <br /> This contract has been reviewed and is approved by the County Manager Yes No❑. <br /> This contract has been reviewed an 's for si nature by the Chair Yes❑No❑. <br /> Manager's Signature: Date: C7 ° I q <br /> Clerk to the Board <br /> Approved by BOCC on the day of 20 . Submitte r it signature on the a[y�of 20 <br /> Clerk's Signature: Date: <br /> Revised March 2012 <br />