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15 <br />ORANGE COUNTY - CONTRACT CONTROL SHEET �� I i - I' <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: Town of Chapel Hill Party/Vendor Contact Person: Sheryl Sherman Contact Phone: (919) 969 -4910 <br />Party/Vendor Address: 405 Martin Luther King Jr. Blvd City Chapel Hill State: NC Zip: 27514 Department: Human Rights & <br />Relations Amount: $2160.00 Purpose: Department Promotion/Fair Housing Anniversary Budget Code(s): 10460020 - 600000 Vendor # <br />64 (N /A if new vendor) Vendor is a BOCC consultant? Yes ❑ No® Contract Type: (Check one) New ® Renewal ❑ <br />Amendment ❑ Effective Date 4/30/2018 Approved by Board Yes❑ No❑ Agenda Date: 4/30/2018 - 4/30/2019 Title of <br />Contract: Transit Advertising <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❑ Bi P 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 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: <br />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: Date: � l( ee <br />ffin Services <br />This Contract is conditioned upon appropriation tmissioners Yes ❑No ❑. A budget amendm ent is necessary <br />before approval Yes❑ No❑. If budget amen t ase attach to this form. This instrument has been pre - audited in the <br />manner required by the Local Government Bud et n Act: <br />Financial Services Director's Signature: Date: <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 Signature -tu C."/6�&i�c! ag Date: t ll`I 11% <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 />Clerk to the Board <br />Date: <br />Approved by BOCC on the day of 520 . Submitted for Chair signature on the day of , 20 <br />Clerk's Signature: <br />Revised March 2012 <br />Date: <br />