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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)Cleric <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: Gina Rhoades Party/Vendor Contact Person: Gina Rhoades Contact Phone: 919-451-1223 Party/Vendor Address: <br /> 212 South Hillsborough Av 01W e City Hillsborough State:NC Zip: 27278 Department: DEAPR Amount: $1000.00 Purpose: Mommie <br /> and Me Budget Code(s):gVendor#N/A (N/A if new vendor) Vendor is a BOCC consultant? Yes ❑No® Contract Type: <br /> (Check one)New ® Renewal ❑ Amendment ❑ Effective Date February 6,2011 Approved by Board Yes❑No® Agenda <br /> Date: Title of Contract: <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 /> r <br /> Department Director's Signatur - Date: ; <br /> IT Director <br /> (Applicable only to hardware/sofhvare purchases or related services)This contract has been reviewed and approved by the Information <br /> Technology Di rec r 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 ❑. With incorporation of Insurance provisions as shown, this contract is approved <br /> by the Risk Manager: <br /> Risk Mana jer's Signature: Date: P <br /> Kee�d Il l9�ll <br /> Financial Services <br /> This Contract is conditioned pon appropriation by the Board of Commissioners Yes❑NOV 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 ct: <br /> Financial Services Director's Signature: . WevA_ , )I A Date: j <br /> County Attorney <br /> Approval by Board ❑ (Contracts over $90,000.00 for goods or services, $250,000.00 for construction, or any BOCC consultant <br /> contract). Approval by Manager (All other contracts). This contract has been reviewed and approved by the Attorney as to legal <br /> form and sufficiency: <br /> Attorney's Signature Date: l <br /> County Manager <br /> This contract has been reviewed and is approved by t e County Manager Yes o❑. <br /> This contract has been reviewed and is to e su itt d for OCC considera Ion Yes❑No[�K <br /> Manager's Signature: Date: <br /> Clerk to the Board <br /> Approved by OCC on the day ,20 Submitted for Chair signature on the day of _,20 <br /> Clerk's mature: Date: l r <br /> VV <br /> Revised April 2010 <br />