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ORANGE COUNTY—CONTRACT CONTROL SHEET 60 <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: Town of Chapel Hill Party/Vendor Contact Person: Jackie Thompson Contact Phone: 919-968-2760 <br /> Party/Vendor Address: 828 Martin Luther King Jr Blvd City Chapel Hill State:NC Zip: 27514 Department: Aging Amount '300 <br /> Purpose: Retired and Senior Volunteer Program Budget Code(s): 10434005-448910 Vendor#64 (N/A if new vendor) Ven a <br /> BOCC consultant? Yes ❑No® Contract Type: (Check one)New❑ Renewal® Amendment ❑ Effective Date 07/01/10 <br /> Approved by Board Yes®No❑ Agenda Date: included in FYI budget Title of Contract: Town of Chapel Hill Performance <br /> 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: G��ul� Date: <br /> IT Director <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; ❑ Auto; ❑ WC; ❑ Professional; ❑ Property; [ErOR No Insurance Required ❑. Hold <br /> Contract pending receipt of Certificate of Insurance F. With incorporation of Insurance provisions as shown, this contract is approved <br /> by the Risk Manager: <br /> Risk Manager's Signature: Date: S (3 /e-) <br /> foe W �//Ifiv 3wiz Financial Services <br /> This Contract is conditioned pon appropriation by the Board of Commissioners Yes❑Noi 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 /> Signature:Director's Si �aj. YAAA, Date: v !v <br /> Financial Services i g <br /> County Attorney <br /> Approval by Board ❑ (Contracts ver $90,000.00 for goods or services, $250,000.00 for construction, or any BOCC consultant <br /> contract). Approval by Manager (Alt other contracts). This contract has been reviewed and approved by the Attorney as to legal <br /> form and sufficiency: G� <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 onsidea on Yes❑ <br /> Manager's Signature: Date: l(9 ILL)— <br /> Cle k Vto the Boar <br /> Approved by BOCC on the day of ,20 Submitted air signature on the day of ,20 <br /> Clerk's Signature: Date: <br /> Revised April 2010 <br /> I <br />