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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: NC Department of Health and Human Services, Party/Vendor Contact Person: Jennifer Olson. Contact Phone: <br /> (919) 733-4534. Party/Vendor Address: 2001 MSC. City Raleigh. State: NC Zip: 27699-2001 Department: Housing/Community <br /> Development Amount: $2,300 Purpose: Homeless Program Benchmarks Report Budget Code(s): 32470605 Vendor# (N/A if <br /> new vendor) Vendor is a BOCC consultant? Yes ❑ No® Contract Type: (Check one) New ® Renewal ❑ Amendment ❑ <br /> Effective Date 01/08/2010. <br /> If this is a Grant Agreement, pre-application has been approved by the Board of Commissioners Yes No If submitted forbid <br /> were bids/RFPs received Yes❑ No❑. Bid/RFP number This contract has been reviewed and approved by the Department <br /> Director as to technical content: <br /> G �� - <br /> Department Director's Signat re: Date: <br /> IT Director <br /> (Applicable only to hardware/sof4vare 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: Date: <br /> Financial Services <br /> This Contract is conditioned upon appropriation by the Board of Commissioners Yes❑Nor]. A budget amendment is necessary <br /> before approval Yes❑NoR]. 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: A�ry�rt,(/ Ate-, Date: 2 i 1 D <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 Atto ney as to legal <br /> form and sufficiency: <br /> Attorney's Signature Date: b <br /> County Manager <br /> This contract has been reviewed and is approved by the County Manager Ye No❑. <br /> This contract has been reviewed and is to be submitted f - OCC consideration Yes❑NO;?"I'� <br /> Manager's Signature: Date: 2. �' �V <br /> Jerk to the Board <br /> Approved b Board Yes❑NoVVd ate:pp y -Clerk's Signature: � Date: 3 w <br />