Orange County NC Website
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: Child Care Services Assoc. Party/Vendor Contact Person: Sue Russell Contact Phone: 919-403-6950 <br /> Party/Vendor Address: P.O. Box 901 City Chapel Hill State:NC Zip: Department: Outside Agency Amount: $18,285 Purpose: <br /> Budget Code(s): 10495050 710033 Vendor#800005 (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 bee approved by the Board of Commissioners Yes❑No❑. If submitted for bid were <br /> bids/RFPs received Yes❑No❑ Bid/RFP number his contract has been reviewed and approved by the Department Director as to <br /> technical content: <br /> r m Director's Signature: <br /> Department ctor Date:t e <br /> I irector <br /> (Applicable only to hardware/software purchases or related serer ' 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; aAuto; 0­WC; 2-Professional; ❑ 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 ignature: Date: <br /> I"e W 0-71g_0,10 <br /> Financial Services <br /> This Contract is conditioned upon appropriation by the Board of Commissioners Yes❑Nog]. A budget amendment is necessary <br /> before approval Yes❑No�6. 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 /> R� A A%44 Date: I9 <br /> ( <br /> Financial Services Director's Signature: w <br /> County Attorney <br /> Approval by Board [ (Contra over $90,000.00 for goods or services, $250,000.00 for construction, or any BOCC consultant <br /> contract). Approval by Man er (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: 120,C <br /> County Manager <br /> This contract has been reviewed and is approved by the County Manager Ye.�No❑. <br /> This contract has been reviewed and is to be submitted for B Oc C consideration No❑. <br /> Manager's Signature: Date: 7,3)16 <br /> Clerk to the Board <br /> Approved by BOCC on the day of Submitted for Chair signature on the day of ,20 <br /> Clerk's Signature: <br /> Date: <br /> Revised April 2010 <br />