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ORANGE COUNTY-CONTRACT CONTROL SHEET 00 <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: Orange County School System. Party/Vendor Contact Person: Contact Phone: Party/Vendor Address: <br /> City Hillsborough. State: NC Zip: 27278 Department: Amount: $187,378 Purpose: School Nursing Services Budget Code(s): <br /> V n r# (N/A if new vendor) Vendor is a BOCC consultant? Ye4z�lo Contract Type: (Check one) New <br /> Renewal mendment ❑ Effective Date July 1,2009. <br /> If this i a Grant Agreement, pre-application has been approved by the Board of Commissioners Yes No If submitted forbid <br /> were ids/RFPs received Yes❑ No❑. Bid/RFP number This contract has been reviewed and approved by the Department <br /> Director as to technical content: <br /> Department Director's Signature: Date: Sl <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 E]. With incorporation of Insurance provisions as shown, this contract is approved <br /> by the Risk Manager: <br /> Gc,a 4-Loto 40-mol"& 111�4� <br /> Risk Manager's Signature: Date: I A2,-z,1_z_v1d <br /> Financial Services <br /> This Contract is conditioned upon appropriation by the Board of Commissioners Yes❑No["F,'(. A budget amendment is necessary <br /> before approval Yes❑NoM. 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 Act: <br /> Financial Services Director's Signature: �. Date: <br /> County Attorney <br /> Approval by Board(Contracts over $25,000.00 or any BOCC consultant contract). Approval by Manager ❑ (All contracts <br /> $25,000.00 or less with the e ption of BOCC consultants). This contract has been reviewed and approved by the Attorney as to legal <br /> form and sufficiency: <br /> Attorney's 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❑No❑. <br /> Manager's Signature: Date: <br /> Clerk to the Board <br /> Approved by Board Yesr5�-No❑ Agenda Date: d <br /> Clerk's Signature: Date: d <br /> lie <br /> J /� <br />