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c: <br /> ORANGE COUNTY—CONTRACT CONTROL SHEET <br /> Routing Order: (1)Department, (2)IT, (3)Risk Management,(4)Financial Services, (5)Attorney, (6)Manager, (7)Cleric <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: Project Turn Around Party/Vendor Contact Person: Roger Stancil Contact Phone: 919-968-2806 Parry/Vendor <br /> Address: 828 Martin Luther King Jr. Blvd City Chapel Hill State:NC Zip:27516 Department: Outside Agency Amount: $35,000 <br /> Purpose: Budget Code(s): 10495050 719009 Vendor#31495 (N/A if new vendor) Vendor is a BOCC consultant? Yes ❑No <br /> ® Contract Type: (Check one)New ❑ Renewal ® Amendment ❑ Effective Date July 1,2010 Approved by Board Yes®No❑ <br /> Agenda Date: 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 number This co ract has been reviewed and approved by the Department Director as to <br /> technical content: <br /> Department Director's Signature: v (, Date: X'— 0 <br /> Wirector <br /> (Applicable only to hardware/sofhvare 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: aCGL; ['Auto;[] WC; ❑ Professional; 0 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 SIP nature: Date: Q 1-7 <br /> Financial Services <br /> This Contract is condition d pon appropriation by the Board of Commissioners Yes❑NoX 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 Bud et and Fiscal Co ntr 1 Act:g a <br /> Financial Services Director's Signature: Ra",&w I' Date: <br /> County Attorney <br /> Approval by Boarontracts over $90,000.00 for goods or services, $250,000.00 for construction, or any BOCC consultant <br /> contract). Approval by Manager ❑ (All other contracts). This contract has been reviewed and approved by the Attorney as to legal <br /> form and sufficiency: <br /> Date:Attorne s Signature <br /> 61 _ <br /> County Manager <br /> This contract has been reviewed and is approved by the County Manager Ye%❑`Nlo❑. <br /> This contract has been reviewed and is to be submitted for BOCC consideratio Ye;No❑. <br /> Manager's Signature: Date: J <br /> Clerk to the Board <br /> Approved by BOCC on the day of ,20 Submitted for Chair signature on the day of ,20 <br /> Clerk's Signature: Date: <br /> Revised April 2010 <br />