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6 9 � <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: Alliance of AIDS Services Party/Vendor Contact Person: John Paul Womble Contact Phone: 919434-2437 <br /> Party/Vendor Address: P.O. Box 12583 City Raleigh State:NC Zip: Department: Outside Agency Amou t:��,500__Purpose:Budget Code(s): 10495050 719022 Vendor# (N/A if new vendor) Vendor is a BOCC consultant?Y-e-s-❑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[:]jd er This contract has been reviewed and approved by the Department Director as to <br /> technical content: <br /> Department Director's Signatu Date: <br /> IT Director <br /> (Applicable only to haj dwa�°e/softwaj°e purchase e ated 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: [� GL; E;-Auto; q WC; B 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 Signature: Date: G /d <br /> Financial Services <br /> This Contract is conditioned upon appropriation by the Board of Commissioners Yes❑Nok. 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: dM4vi.&j D ate. <br /> County Attornev <br /> Approval by Board ❑ (Contracts ov r-$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: <br /> Attorney's Signature <br /> Y g <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 BOCC onsideration Yes. N o❑. <br /> Manager's Signature: Date: l `) f <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: lih,41A <br /> Revised April 2010 <br />