2012-124 Manager - UNC Summer Interns

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/ ORANGE COUNTY - CONTRACT CONTROL SHEET Routing rder: (1) Department, (2) IT, (3) Risk Management, (4) Financial Services, (5) Attorney, (6) Manager, (7) Clerk This Document shall accompany all contracts and shall be submitted for signature in the Routing Order specified above. If the Manager determines the contract is not appropriate for Manager approval the Manager shall submit the contract for BOCC approval. Contracts for BOCC approval must be submitted through, and complete, the routing process prior to agenda review. Contracts for legal review should be completed through the legal review process prior to being routed for signature. Department Party/Vendor Name: University of North Carolina at Chapel Hill School of Government Party/Vendor Contact Person: Sharon Pickard Contact Phone: Party/Vendor Address: MPA Program UNC School of Government, Campus Box 3330, Knapp Sanders Building, City Chapel Hill State: North Carolina Zip: 27599 -3330 Department: County Manager Amount: Purpose: UNC MPA Joint Trainee Program: Summer Interns Budget Code(s): Vendor # (N /A if new vendor) Vendor is a BOCC consultant? Yes ❑ No® Contract Type: (Check one) New ® Renewal ❑ Amendment ❑ Effective Date May 1, 2012 Approved by Board Yes❑ No® Agenda Date: Title of Contract: UNC Master of Public Administration Joint Trainee Program If this is a Grant Agreement, pre - application has been approved by the Board of Commissioners Yes[:] No❑. If submitted for bid were bids/RFPs received Yes❑ No❑ Bid/RFP number s contract has been reviewed and approved by the Department Director as to technical content: !yl Department Director's Signature: Dater —� V IT Direct (Applicable only to hardware /software purchases or related services) This contract has been reviewed and approved by the Information Technology Director as to technical content and information technology specifications: IT Director's Signature: Include the following coverages: ❑ CGL; ❑ Auto; Contract pending receipt of Certificate of Insurance ❑ by the Risk Manager: Risk Manager's Signature: Date: Risk Management ❑ WC; ❑ Professional; ❑ Property; OR No Insurance Required Z. Hold With incorporation of Insurance provisions as shown, this contract is approved Date: Financial Services This Contract is conditioneUpon appropriation by the Board of Commissioners Yes ❑NoK A budget amendment is necessary before approval Yes❑ No If budget amendment is necessary, please attach to this form. This instrument has been pre - audited in the manner required by the Local Government Budget and Fiscal Control Act: Financial Services Director's Signature: u" JJ � Date: 5 174 t2- Countv Attorne Approval by Board ❑ (Contracts $90,000.00 or more for goods or services, $250,000.00 or more for construction, or any BOCC consultant contract). Approval by Manager ® (Most other contracts $1,000 and above). Department Director approval only ❑ (Under $1,000). This contract has been revi ed and the Attorney as to legal form and sufficiency: Attorney's Signature - -- Date: 5- County Manager This contract has been reviewed and is approved by the County Manager Ye� o ❑. This contract has been reviewed and is for sign b th air Yes ❑No Manager's Signature: Date: Clerk to the Board Approved by BOCC on the _ day of , 20 . Submitted for Chair signature on the _ day of 120 Clerk's Signature: Revised March 2012 Date: