Orange County NC Website
ORANGE COUNTY-CONTRACT�'RACT CONTROL SHEET 0 C�5 <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 Schools Party/Vendor Contact Person: Contact Phone: 732-8126 Party/Vendor <br /> Address: 200 East King Street City Hillsborough State:NC Zip: 27278 Department: Amount: 182,697 Purpose: Budget <br /> Code(s): Vendor# (N/A if new vendor) Vendor is a BOCC consultant? Yes ❑No® Contrac ck one)New <br /> ® Renewal ❑ Amendment ❑ Effective Date 7/1/2010 Approved by Board Yes®No❑ Agenda D e: /15/10 itle of <br /> Contract: Agreement for School Nursing Services <br /> If this is a Grant Agreement, pre-application has been approved by the Board of Commissioners Yes No If submitted for bid <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: ate: <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 technic 1 content and information technology specifications: <br /> IT Director's Signature: / 7 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 F. 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❑Nog. 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: <br /> • Date: � t4�® <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 exception 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: (10 1 <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 10❑. <br /> Manager's Signature: Date: <br /> Clerk to the Board <br /> Submitted for Chair signature: l/ <br /> Clerk's Signature: Date: d <br /> Revised December 2009 )� /� <br />