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►�} -5z7 <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: Communities in Schools of Orange County Party/Vendor Contact Person: Sarah Shapard Contact Phone: 919- <br /> 967-6677 Party/Vendor Address:210 N. Columbia St. City Chapel Hill State:NC Zip: 27514 Department: Finance&Admin. Services <br /> Amount: $102,000 Purpose: Performance Agreement Budget Code(s): 10495050-710034 Vendor#26951 (N/A if new vendor) <br /> Vendor is a BOCC consultant? Yes ❑No® Contract Type: (Check one)New❑ Renewal® Amendment ❑ Effective Date <br /> 7/1/2014 Approved by Board Yes®Non Agenda Date: 6/17/2014 Title of Contract: 2014-15 Outside Agency Performance <br /> 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❑Non Bid/RFP number This contract has been reviewed and approved by the Department Director as to <br /> technical content: <br /> r <br /> Department Director's Signature: G�'►�vGv ,� 1 Date: <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 roved <br /> by the Risk Manager: O <br /> Risk Manager's Signature: to Date: l OCT 1 0 2014 <br /> 10110 <br /> Financial Services <br /> This Contract is conditioned u on appropriation by the Board of Commissioners Yes❑No[� Abu <br /> before approval Yes❑ No[BIf budget amendment is necessary, please attach to this form. This instrument has been pre-audited in t e <br /> manner required by the Local Government Budget and Fiscal Control Act: <br /> Financial Services Director's Signature: �� !�� ,- Date: t Iy <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 b anager❑ (Most other contracts$1,000 and above). Department Director approval only ❑ (Under <br /> $1,000). This contract has been r vi we proved 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 No❑. <br /> This contract has been reviewed and is for signature by the Chair Yes No❑. <br /> Manager's Signature: �;? Date: <br /> ClerhA tk Bmrd <br /> Approved by BOCC on the_day of .120 d for air signature on the ay ,20 <br /> Clerk's Signature: ate: <br /> Revised March 2012 <br />