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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: Pretrial Services Party/Vendor Contact Person: Joyce Kuhn Contact Phone: 919-245-2970 Party/Vendor Address: <br /> 106 E.Margaret Lane City Hillsborough State:NC Zip: 27278 Department: Finance&Admin. Services Amount: $95,000 Purpose: <br /> Performance Agreement Budget Code(s): 10400120-63000 Vendor#N/A (N/A if new vendor) Vendor is a BOCC consultant? Yes <br /> ❑No® Contract Type: (Check one)New❑ Renewal ® Amendment ❑ Effective Date 7/1/2014 Approved by Board Yes®No <br /> ❑ 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:�'�"►i``''^� �' V "� Date: I�� <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 shown, this contract is approved <br /> by the Risk Manager: <br /> Risk Manager's Signature: (/ Date: <br /> 81 � <br /> Financial Services <br /> This Contract is conditioned on appropriation by the Board of Commissioners Yes❑No 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: q4V,� �` /�4� Date: I y /Y <br /> County Attorney <br /> Approval by Board (Contracts $90,000. or more for goods or services, $250,000.00 or more for construction, or any BOCC <br /> consultant contract). Approv by Manager (Most other contracts $1,000 and above). Department Director approval only ❑ (Under <br /> $1,000). This contract has b reviewed and approved by the Attorney as to legal form and sufficiency: <br /> Attorney's Signature Date: <br /> County Manager <br /> This contract has been reviewed and is approved by the County Manager s o❑. <br /> This contract has been reviewed and is for signature by the Chair Yes o❑. g <br /> Manager's Signature: Date: L/.4 z <br /> Clerk t the Board <br /> Approved by BOCC on the day of 12 bmi ed for C signature on the day of ,20 <br /> Clerk's Signature: Date: f <br /> Revised March 2012 <br />