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O� <br /> 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: Freedom House Party/Vendor Contact Person: Trish Hussey Contact Phone: 942-2803 Party/Vendor Address: <br /> 104 New Stateside Drive City Chapel Hill State:NC Zip:27516 Department: Social Services Amount: $160,000 Purpose: CJPP <br /> Budget Code(s): Vendor# (N/A if new vendor) Vendor is a BOCC consultant? Yes❑No® Contract Type: (Check <br /> one)New❑ Renewal® Amendment ❑ Effective Date 7/1/10 Approved by Board Yes®No❑ Agenda Date:3/16/10 Title <br /> of Contract: Orange County and Freedom House Recovery Center Agreement <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 Director <br /> as to 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 El. 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 /> Risk Manager's Signature: Date: <br /> Financial Services <br /> This Contract is conditioned upon appropriation by the Board of Commissioners Yes❑No❑. 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 Act: <br /> Financial Services Directors Signature: i Date: <br /> County Attorney <br /> Approval by Board ❑ (Con acts over $25,000.00 or any BOCC consultant contract). Approval by Manager ] (All contracts <br /> $25,000.00 or less with the ex e,tion f BOCC consultants). This contract has been reviewed and approved by the Attorney as to legal <br /> form and sufficiency: <br /> Y <br /> Attorney's Signature Date: 312-q I t p <br /> County Manager <br /> This contract has been reviewed and is approved by the County Manager Y No❑. <br /> This contract has been reviewed and is to be submitted for BOC c nsid ration NY OFT <br /> Manager's Signature: Date: <br /> Cl k to the Board <br /> Submitted for Chair signature: <br /> Clerk's Signature: Date: <br /> 3 3 � <br /> Revised December 2009 <br />