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0 � v <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: Triangle Residential Options fro Substance Abusers,Inc. (TROSA) Party/Vendor Contact Person: Kevin <br /> McDonald Contact Phone: 919-419-1059 Party/Vendor Address: 1820 James St. City Durham State:NC Zip: 27707 Department: <br /> Outside Agency Amount: $2,500 Purpose: Budget Code(s): 10495050 710002 Vendor#800070 (N/A if new vendor) Vendor <br /> is a BOCC consultant? Yes ❑No® Contract Type: (Check one)New❑ Renewal ® Amendment ❑ Effective Date July 1,2010 <br /> Approved by Board Yes®No❑ 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/RFAmb This contract has been reviewed and approved by the Department Director as to <br /> technical content: <br /> Department Director's Signature: Date: '� "- <br /> C.! <br /> IT Directo <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; 2�uto;�-��WC; Ej--Pr ❑ Property; ❑ OR No Insurance Required E. 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: Date:g /7 <br /> ke c'a rh`I/0 <br /> Financial Services <br /> This Contract is conditioned upon appropriation by the Board of Commissioners Yes❑NoW A budget amendment is necessary <br /> before approval Yes❑NoX. 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: P, 4Ai1---- Date: <br /> County Attorney <br /> Approval by Board �K (Contracts 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: �'1 2oio <br /> County Manager <br /> This contract has been reviewed and is approved by the County Manager YePnYeZ]No[:]. <br /> No❑. <br /> This contract has been reviewed and is to be submitted for BOCC co ii erat <br /> Manager's Signature: Date: <br /> Clerk to the Board <br /> Approved by BOCC on the ay of ,20 . Submitted for Chair signature on the day of ,20 <br /> Clerk's Signature: Date: g l t/6 <br /> Revised April 2010 <br />