Orange County NC Website
ORANGE COUNTY—CONTRACT CONTROL SHEET 65 <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: Club Nova Party/Vendor Contact Person: Karen Dunn Contact Phone: 919-968-6682 Party/Vendor Address:PO <br /> Box 1346 City Carrboro State:NC Zip: 27510 Department: Outside Agency Amount: $75,000 Purpose: Budget Code(s): <br /> 10495050 719048 Vendor#805426 (N/A if new vendor) Vendor is a BOCC consultant? Yes ❑No® Contract Type: (Check one) <br /> New❑ Renewal ® Amendment ❑ Effective Date July 1,2010 Approved by Board Yes®No❑ Agenda Date: June 15,2010 <br /> Title of Contract: 2010-11 Outside Agency Performance Agreement <br /> If this is a Grant Agreement,pre-application has been approved Py the Board of Commissioners Yes❑ No❑. If submitted for bid were <br /> bids/RFPs received Yes❑No❑ Bid/RFP number This ontract has been reviewed and approved by the Department Director as to <br /> technical content: <br /> Department Director's Signature: Date: ` <br /> ctor <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 Manal4ement <br /> Include the following coverages: OCGL; R Auto; C'WC; 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 /> by the Risk Manager: <br /> Risk Manager's Signature Date: ?/ <br /> Financial Services <br /> This Contract is conditioned upon appropriation by the Board of Commissioners Yes❑No�. 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 ontrol Act: <br /> Financial Services Director's Signature: ffd�ikw • 144 Date: <br /> g zl� <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 Ma ' r ❑d.A.11 other contracts). This contract has been reviewed and approved by the Attorney as to legal <br /> form and sufficiency: <br /> Attorney's Signature Date: <br /> County Manaller <br /> This contract has been reviewed and is approved by the County Manager No❑. <br /> This contract has been reviewed and is to be submitted for BOC onsideration Yes ] 10 1__]. <br /> Manager's Signature: Date: <br /> Jerk to the Board <br /> Approved by BOCC on the day of ub ed for Chair signature on the day of ,20 <br /> Clerk's Signature: Date: <br /> Revised April 2010 <br />