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6 --70 <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: Planned Parenthood of Central NC Party/Vendor Contact Person: Janet Colm Contact Phone: 919-929-5402 <br /> Party/Vendor Address: O.O. Box 3258 City Chapel Hill State:NC Zip: 27514 Department: Outside Agency Amount: $$10,000 <br /> Purpose: Budget Code(s): 10495050 710013 Vendor# 800040 (N/A if new vendor) Vendor is a BOCC consultant? Yes ❑ <br /> No® 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 is co t t has been reviewed and approved by the Department Director as to <br /> technical content: <br /> Department Director's Signature: Cj ate: T__ 4� <br /> I irector L k <br /> (Applicable only to hardware/software purchases or related services)This contract ha een 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: ErCGL; Auto; C;,3"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 /> P g P � P <br /> by the Risk Manager: <br /> Risk Manager's Signature: W Date: <br /> Financial Services <br /> This Contract is conditioned pon appropriation by the Board of Commissioners Yes❑NoY- 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 fC,ontrol Act: �i <br /> Financial Services Director's Signature: NA4�W /y* J/14)L� Date: (I }o <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 X(A other contracts). This contract has been reviewed and approved by the Attorney as to legal <br /> form and sufficiency: <br /> Attorney's Signature Date: I°l 2-Ls 0 <br /> County Manager <br /> This contract has been reviewed and is approved by the County Manager YNo❑. <br /> This contract has been reviewed and is to be submitted for BO C consideration Yes❑No❑. <br /> Manager's Signature: Date: 23 <br /> �Ierk to the Board <br /> Approved by BOCC on the day of 0 Submitted for Chair signature o the day of 320 <br /> Clerk's Signature: D e: LAG (J <br /> Revised April 2010 <br />