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ORANGE COUNTY—CONTRACT CONTROL SHEET 0&t) niq - I <br /> -U �(p <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 � t <br /> Party/Vendor Name: Orange CounV Schools Party/Vendor Contact Person: Dr.Jake He Contact Phone:919-732-8126 <br /> Party/Vendor Address:200 E.King Street City Hillsborouel► State:NC Zip:27278 Department:Health Amount: $ 5 Purpose: <br /> Provide summer K-readiness and rising I'grade literacy enrichment programming Budget Code(s): 10412020- -71453 Vendor# <br /> 178 (N/A if new vendor) Vendor is a BOCC consultant? Yes❑No® Contract Type: (Check one)New❑ enewal® �1 <br /> Amendment ❑ Effective Date 6/1/17 Approved by Board Yes❑NOD Agenda Date: Title of Co act:OCS Out of ��\�\ <br /> School Prog�g WCOOD �� <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 conten: <br /> Department Director's Signature: 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 shown,this contract is approved <br /> by the Risk Manager: <br /> Risk Manager's Signature: <br /> Date: <br /> Financial Services <br /> This Contract is conditioned upon appropriation by the Board of Commissioners Yes No <br /> before approval Yes[—]No[:]. If budget amendment neces ,pleas ttach to this form. his instrument has been re-audited in the <br /> manner required by the Local Government Budget Fiscal o trol A <br /> Financial Services Director's Signature: <br /> Date: s / <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 by Manager❑(Most other contracts$1,000 and above). Department Director approval only❑ (Under <br /> $1,000). This contract has been reviewed and approved by the Attorney as to legal form and sufficiency: <br /> Attorney's Signatures ,V <br /> Date: S/1 1/i 1 <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: <br /> Date: <br /> Approved by BOCC on the da of Clerk to the Board <br /> Y ,2 Submitted for Chair signature on the_day of 20 <br /> Clerk's Signature: Date: 51 I a ll-I <br /> Revised March 2012 <br />