Orange County NC Website
ORANGE COUNTY—CONTRACT CONTROL SHEET L <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: Middle School After School Program Party/Vendor Contact Person: Sheila D. Sholes-Ross Contact Phone: 919- <br /> 967-6677 Party/Vendor Address: P.O. Box 9454 City Chapel Hill State:NC Zip: Department: Outside Agency Amount: <br /> $57,000 Purpose: Budget Code(s): 10495050 710036 Vendor#50710 (N/A if new vendor) Vendor is a BOCC consultant? <br /> Yes ❑No® Contract Type: (Check one)New ❑ Renewal® Amendment ❑ Effective Date July 1,2010 Approved by Board <br /> 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/RFP number This contract has been reviewed and approved by the Department Director as to <br /> technical content: <br /> Department Director's Signature: o Date: <br /> IT Dir r <br /> (Applicable only to hardware/software purchases d IT <br /> Thi ontract 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; ❑ Auto; ❑ 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: g �� <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 /> N 9 <br /> Financial Services Director's Signature: Qi�i�w �/l�'�' Date: <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 Manager ❑ (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: <br /> County Manager <br /> This contract has been reviewed and is approved by the County Manager Yes❑No❑. <br /> This contract has been reviewed and is to be submitted for BOCC consideration Yes❑No❑. <br /> Manager's Signature: Date: <br /> Clerk to the Board <br /> Approved by BOCC on the dayofA 1 20 Submitted for Chair signature on the day of ,20 <br /> Clerk's Signature: Date: "G <br /> Revised April 2010 <br />