Orange County NC Website
ORANGE COUNTY-CONTRACT CONTROL SHEET <br />Routing Order: (1) Department, (2) IT, (3) Risk Management, (4) Financial Services, (S) Attorney, (6) Manager, (7) Clerk <br />This Documen# shalt acegmpany 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 />• Deaartment <br />PartyNendor Name: Magnolia Ko PartyNendor Contact Person: Same Contact Phone: 9I9-360-98SS PartyNendor Address: 3401 <br />Corby Lane City Durham State: NC Zip: 27705 Department: Health Amount: $35/hr, max $5,000 Purpose: Karen Interpreter Budget <br />Code(s): Vendor # S7Q64 (N/A if new vendor) Vendor is a BOCC consultant? Yes ^ No® Contract. Type: (Check one) New <br />^ Renewal ® Amendment ^ Effective Date July 1, 2010 Approved by Board Yes^ No^ Agenda Date: Title of <br />Contract: Interpreter Contract $10,000 or Less <br />If this is a Grant Agreement, pre-application has been approved by the Board of Commissioners Yes No If submitted for 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: . <br />a --~~ f <br />~ ~ - cj ~ <br />Department Director's Signature: , ~~-~~~ (/~jLi;G2~'L'i~"'-~ Date: <br />• IT Director <br />(Applicable only to hardware/sof3ware purchases or related services) This contract has been reviewed and approved bythe Information <br />Technology Director as to technical content and information technology specifications: <br />IT Director's Signature: ~ ~l"1 Date: <br />--- <br />- -_--- <br />r ------- <br />..- -- - ..-. _ _ _ RasR anasemer[ _ <br />Include the following covexages: ^ CGL; ^ Auto; ^ WC; ^ Professional; ^ Property; ~R No Insurance Required-^--Hold- <br />Contractpending receipt of Certificate of Insurance ^. With incorporation of Insurance provisions as shown, this contrast is approved <br />by the Risk Manager: ry~ <br />Risk Manager's Signature: ~/~'YI Date: I Gf' <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^ 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 Bud~g/eat and Fiscal Controfl~Act: r <br />Financial Services Director's Signature: ~LU'~w~ ~~ /J~''`~`'-' Date: 7 7! ~ O <br />Countv Attorney <br />Approval by Board ^ (Contracts over $25,000.00 or any BOCC consultant contract). Approval by Manager ~ (All contracts <br />$25,000.00 or less with the epf n of BOCC consultants). This contract has been reviewed and approved by the Attorney as to legal <br />form and sufficiency: <br />Attorney's Signature Date: ~ ~a <br />Countv 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 suli 'tted for B C consideration Yes^No~ <br />Manager's Signature: Date: <br />f~Clerk to the Board <br />.Submitted for Chair signature: `` <br />Clerk's Signature: ~' _ Date: <br />Revised December 2009_ <br />