2012-139 DSS - Dispute Settlement Center for Staff Training/Curriculum Development Amendment

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• ORANGE COUNTY — CONTRACT CONTROL SHEET Routing Order: (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 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: Disute Settlement Center Party/Vendor Contact Person: Frances Henderson Contact Phone: 919- 929 -8800 Party/Vendor Address: 302 West Weaver St. City Carrboro State: NC Zip: 27510 Department: Social Services Amount: $10,000 Purpose: To Amend Original Agreement to Include Staff Training /Curriculum Development 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 7/1/11 Approved by Board Yes❑ No❑ Agenda Date: Title of Contract: Amendment to Dispute Settlement Center 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 This contract has been reviewed and approved by the Department Director as to technical content: Department Director's Signature: Date: S /z IT Director (Applicable only to hardwareIsofiware 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: Date: Risk Management Include the following coverages: ❑ CGL; ❑ Auto; ❑ WC; ❑ Professional; ❑ Property; OR No Insuran ce Required ❑. Hold Contract pending receipt of Certificate of Insurance ❑. With incorporation of Insurance provisions as shown, this contract is approved by the Risk Manager: Risk Manager's Signature: Date: Financial Services This Contract is condition d Pon appropriation by the Board of Commissioners Yes ❑No A budget amendment is necessary before approval Yes❑ No M. If budget amendment is necessary, please attach to this form. This instrument has been pre - audited in the manner required by the Local Government Budg t�ajn�d�Fiscal Control Act: /�)�, Financial Services Director's Signature: F.it/ / �' ` Date: -4 County Attorney 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 reviewed and approved by the Attorney as to legal form and sufficiency: Attorney's Signature Date: County Manager This contract has been reviewed and is approved by the County Manager Yes io❑. This contract has been reviewed and is for signature by t air Yes ❑No®. Manager's Signature: Date: 6,-77-17- Clerk to the Board Approved by BOCC on the _ day of , 20 . Submitted for Chair signature on the _day of , 20 Clerk's Signature: Revised March 2012 Date: