Orange County NC Website
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 he 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: Helene Ramos Montgomery Party/Vendor Contact Person: Same Contact Phone: 919-967-1002 Party/Vendor <br />Address: 112 Boulder Lane City Chapel Hill State: NC Zip; 27514 Department: Health Amount: $45/lu' interpretation, $35/hr <br />translation, max $10,000 Purpose: Spanish and French Interpreter/ Spanish Translator Budget Code(s): Vendor # 4t)b77 (NIA if <br />new vendor} Vendor is a BOCC consultant? Yes ^ No® Contract Type: (Check one) New ^ Renewal ® Amendment ^ <br />Effective Date July 1, 2010 Approved by Board Yes^ Nc^ Agenda Date: Title of Contract: Interpreter Translator <br />Contract $10,000 or Less <br />If this is a Grant Agreement, pre-application has bean approved by the Board of Commissioners Yes No If submitted far bid <br />were bids/RFPs received Yes[] No^ Bid/RFP number This contract has been reviewed and approved by the Department Director <br />as to technical content: r <br />Department Director's Signature: '~~~-'~~' ~~4~ir~ ~~'"~. Date: [.f ~~` CT <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 />Include the following coverages; ^ CGL; ^ Auto; ^ WC; ^ Professional; ^ Property; ~R 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; 7 /~ ~~U <br />Financial Services <br />This Contract is conditioned upon appropriation by the Board of Commissioners YesQNo~. 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 Contr~oJl Act: r <br />Financial Services Director's Signature: ~ ,~/d~'~-'' Date: ~ 7 ! / o _ <br />County Attorney <br />Approval by Board ^ (Contracts over $25,000,00 or any BOCC consultant contract). Approval by Manager ~] (Alt contracts <br />$25,000.00 or less with the x epdo BOCC consultants). This contract has been reviewed and approved by the Attorney as to legal <br />form and sufficiency: <br />Attorney's Signature Date: 1 ~ x D1 t3 <br />County Manager <br />This contract has been reviewed and is approved by the County Manager Y~ No^. <br />This contract has been reviewed and is to be submitted for B EC consideration Yes[]No~ <br />Manager's Signature; Date: ~ ~ ~~ <br />Jerk to the Board <br />Submitted for Chair signature; <br />Clerk's Signature: Date: <br />Revised December 2009 <br />