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ao l-14--L+J+1 <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: A Helping Hand Party/Vendor Contact Person: Ryan Stancil Contact Phone: 919-403-5555 Party/Vendor <br /> Address: 1502 W NC Hwy 54, Ste 405 City Durham State:NC Zip: 27707 Department: Finance&Admin. Services Amount: $2,000 <br /> Purpose: Performance Agreement Budget Code(s): 10495050-720085 Vendor#800034 (N/A if new vendor) Vendor is a BOCC <br /> consultant? Yes ❑No® Contract Type: (Check one)New ❑ Renewal ® Amendment ❑ Effective Date 7/1/2014 Approved by <br /> Board Yes®No❑ Agenda Date: 6/17/2014 Title of Contract: 2014-15 Outside Agency 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: <br /> Department Director's Signature: �� � 1 Date: `Q <br /> k <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 <br /> by the Risk Manager: D O <br /> Risk Manager's Signature: Date: AUG 2014 <br /> 8 l Z8 za <br /> Financial Services <br /> This Contract is conditionedJipon appropriation by the Board of Commissioners Yes❑ .No Abu <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 ""^ Date: �lql, <br /> ��Z43 <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 Manager[(Most other contracts$1,000 and above). Department Director approval only ❑ (Under <br /> $1,000). This contract has been re iewed and approved by the Attorney as to legal form and sufficienggcy: <br /> Attorney's Signature Date: p <br /> County Manager <br /> This contract has been reviewed and is approved by the County Manager Yes . <br /> This contract has been reviewed and is for signature by the Chair Yes❑No❑. <br /> Manager's Signature: Date: <br /> Clerk to the Board <br /> Approved by BOCC on the day of S mitted for Chair signature on the_day of 20 <br /> Clerk's Signature: Date: ! <br /> Revised March 2012 <br />