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,=,Qol�4f - .J� <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: Orange County Disability Awareness Council Party/Vendor Contact Person: Tim Miles Contact Phone: <br /> Party/Vendor Address: 503 W. Franklin St. City Chanel Hill State:NC Zip: 27516 Department: Finance&Admin. Services Amount: <br /> $4,000 Purpose: Performance Agreement Budget Code(s): 10495050-710032 Vendor#800037 (N/A if new vendor) Vendor is a <br /> BOCC consultant? Yes ❑No® Contract Type: (Check one)New❑ Renewal ® Amendment ❑ Effective Date 7/1/2014 <br /> Approved by 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: q- "n4n-w,Department Director's Signature: s Date: p <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 El. Hold <br /> Contract pending receipt of Certificate of Insurance E]. With incorporation of Insurance provisions as sho <br /> by the Risk Manager: D MITTI <br /> Risk Manager's Signature: Date: AUG 19 2014 <br /> Financial Services <br /> This Contract is conditioned on 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 instrume s e p -a di <br /> manner required by the Local Government Bu et d Fiscal Control A <br /> A,_ S ¢ 2014 <br /> Financial Services Director's Signature: Date: <br /> County Attorney 13y-- <br /> Approval by Board ❑ (Contracts $90,000.00 or more for goods or services, $250,000.00 or more for construction, or any <br /> consultant contract). Approval by Wqager CK(Most other contracts$1,000 and above). Department Director approval only❑ (Under <br /> $1,000). This contract has been rev e d and approved by the Attorney as to legal form and sufficiency: <br /> Attorney's Signature Date: q 9' <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 for signature by the Chair Yes❑No❑. <br /> Manager's Signature: Date: <br /> Clerk At4oard <br /> Approved by BOCC on the day of 120 for air signature on the day of ,20 <br /> Clerk's Signature: Date: < <br /> Revised March 2012 <br />