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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: NCDOT-Public Transportation Division. Party/Vendor Contact Person: Myra King. Contact Phone: 919-733- <br /> 4713. Party/Vendor Address: 1550 Mail Service Center. City Raleigh. State: NC Zip: 27699-1550 Department: Aging-OPT Amount: <br /> $395,025 Purpose: Administrative and Capital Budget Code(s): 104350 Vendor# 14415 (N/A if new vendor) Vendor is a BOCC <br /> consultant? Yes ❑No® Contract Type: (Check one)New❑ Renewal® Amendment ❑ Effective Date 07/01/2010. <br /> If this is a Grant Agreement,pre-application has been approved by the Board of Commissioners Yes X 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 /> Department Director's Signature: Date: 31e:2 q ho <br /> IT Director <br /> (Applicable only to hardvvare/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 ❑. 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 Director's Signature: Date: <br /> County Attorney <br /> Approval by Board t4 (Co tracts over $25,000.00 or any BOCC consultant contract). Approval by Manager ❑ (All contracts <br /> $25,000.00 or less with the xception 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: q 24?I <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 Yes❑No❑ Agenda Date <br /> Clerk's Signature: JA J�-D <br /> I� <br /> l <br />