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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: Brian Ferrell Party/Vendor Contact Person: Contact Phone: (919)883-4960 Party/Vendor Address:P.O. <br /> Box 16564 City Chapel Hill State:NC Zip:27516 Department:Finance Amount: $5,750 Purpose: Bond Title Opinion Budget <br /> Code(s): Vendor# (N/A if new vendor) Vendor is a BOCC consultant? Yes ❑No® Contract Type: (Check one)New <br /> ® Renewal ❑ Amendment ❑ Effective Date Approved by Board Yes❑No❑ Agenda 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 /> 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 E]. 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: <br /> Financial Services <br /> This Contract is conditioned pon appropriation by the Board of Commissioners Yes❑Noi 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 Loca Government Budget and Fiscal ontro Act: <br /> g <br /> Financial Services Director's Signature: Vl �►,-�;' ��'�� 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 /> Attorneys Signature Date: <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 to be submitted for BOCC,consideration Yes❑N92__ � <br /> Manager's Signature: 1 Date: — r <br /> �ierk to the Board <br /> Approved by BOCC on the day of ,20 Submitted for Chair signature on the day of ,20 <br /> Clerk's Signature: Date: <br /> Revised April 2010 <br />