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66 f) <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: KidSCope Party/Vendor Contact Person: Mike Mathers Contact Phone: 919-644-6590 Party/Vendor Address: <br /> 500 N.Nash St. City Hillsborough State:NC Zip:27278 Department: Outside Agency Amount: $75,000 Purpose: Budget <br /> Code(s): 10495050 710015 Vendor# 800060 (N/A if new vendor) Vendor is a BOCC consultant? Yes ❑No® Contract Type: <br /> (Check one)New ❑ Renewal ® Amendment ❑ Effective Date July 1,2010 Approved by Board Yes®No❑ Agenda Date: <br /> June 15,2010 Title of Contract: 2010-11 Outside Agency Performance Agreement <br /> If this is a Grant Agreement, pre-application has been approved by the Board of Commissioners Yes❑No❑. If submitted for bid were <br /> bids/RFPs received Yes❑No❑ Bid/RFP numbe iThis contract has been reviewed and approved by the Department Director as to <br /> technical content: <br /> Department Director's Signature: Da K7:!� <br /> U , I <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; El Auto; R"WC; �rofessional; ❑ 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: a' Date: <br /> Financial Services <br /> This Contract is conditions upon appropriation by the Board of Commissioners Yes❑NoNf. 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: (/t. "4,-, , • Date: <br /> County Attorney <br /> Approval by Board *(Contracts over $90,000.00 for goods or services, $250,000.00 for construction, or any BOCC consultant <br /> contract). Approval by Manag (All other contracts). This contract has been reviewed and approved by the Attorney as to legal <br /> form and sufficiency: <br /> Attorney's Signature Date: !Z 213U <br /> County Manager <br /> This contract has been reviewed and is approved by the County Manager Yes o❑. <br /> This contract has been reviewed and is to be submitted for BOCC onsidera ion Ye ❑N� <br /> �so❑. <br /> Manager's Signature: Date: <br /> Cie c to the Board <br /> Approved by BOCC on the day of ,20 Submitted for Chair signature on the t day of ,20 <br /> Clerk's Signature: Date: ` 1 <br /> Revised April 2010 <br />