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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: Buzz Rides Party/Vendor Contact Person: Joey Skavroneck Contact Phone: Party/Vendor Address: 173 <br /> 1/2 East Franklin St. City Chapel Hill State:NC Zip:27514 Department: Public Health Amount: $10,000 Purpose:Provider shall <br /> provide OCHD with advertisement services Budget Code(s): 10414020-600000 Vendor#N/A (N/A if new vendor) Vendor is a <br /> BOCC consultant? Yes ❑No® Contract Type: (Check one)New® Renewal❑ Amendment ❑ Effective Date August 1,2014 <br /> Approved by Board Yes❑No❑ Agenda Date: August 1,2014-December 15,2014 Title of Contract: Buzz Rides <br /> If this is a Grant Agreement,pre-application has been approved by the Board of Commissioners Yes❑No❑. If submitted for bid were <br /> bids/RFPs received Yes❑No❑ Bid/RFP number This contract has been reviewed and approved by the Department Director as to <br /> technical content: <br /> Department Director's Signature: Date: <br /> IT Dire r <br /> (Applicable only to hardware/software purchases or related services)This contract has been reviewed and approved by the Information <br /> Technology Director as to technical content and information technology specifications: <br /> IT Director's Signature: Date: <br /> Risk Management <br /> Include the following coverages: ❑ CGL; ❑ Auto; ❑ WC; ❑ Professional; ❑ Property; OR No Insurance Required ❑. Hold <br /> Contract pending receipt of Certificate of Insurance ❑. With incorporation of Insurance provisions as shomil, c,�►tq$ets �p>� <br /> by the Risk Manager: <br /> Risk Manager's Signature: c I / l Date: g All 2 5 2014 <br /> a <br /> Financial Services By <br /> This Contract is conditioned on appropriation by the Board of Commissioners Yes❑No[11�. A bud <br /> before approval Yes❑No[M. 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: q <br /> Financial Services Director's Signature: eu�nLV �� Date: 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' Manager 0 (Most other contracts$1,000 and above). Department Director approval only El (Under <br /> $1,000). This contract has been re wed and approved by the Attorney as to legal form and sufficiency: <br /> Attorney's Signature Date: 8 <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 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_ 20 . Submitted for Chair signature on the_day of ,20 <br /> Clerk's Signature: Date: <br /> Revised March 2012 <br />