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RANGE COUNTY - CONTRACT CONTROL SHEET l <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: Telelaneuage Party/Vendor Contact Person: Jeri Nimon -Toki Contact Phone: 503 -535 -2178 Party/Vendor <br />Address: 421 SW 6th Ave. Suite 1150 City Portland State: OR Zip: 97204 Department: Housing/Human Rights and Community <br />Development Amount: $As Needed Purpose: Interpretation Services Budget Code(s): 3 4 6'06790008 71300 - Vendor # N/A (N /A if <br />new ven or Vendor is a BOCC consultant? Yes ❑ No® Contract Type: (Check one) New ® Renewal ❑ Amendment ❑ <br />Effective Date March 1; 2012 Approved by Board Yes❑ No® Agenda Date: Title of Contract: Telelanguage Service <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: o�( <br />Department Director's Signatu e: Date: �p2 <br />IT ' ctor <br />(Applicable only to hardware /software purchases or related servi s) ntract has been reviewed and approved by the Information <br />Technology Director as to technical content and information technology specifications: <br />IT Director's Signature: <br />Date: <br />Risk Management <br />Include the following coverages: ❑ CGL; ❑ Auto; ❑ WC; ❑ Professional; ❑ Property; Q'OR 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: F Ali.. Date: <br />rC/ 20 <br />Financial Services <br />This Contract is condition upon appropriation by the Board of Commissioners Yes ❑Nox. 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 />Financial Services Director's Signature: y ��" �� Date: 3 2— 2 <br />Countv Attorne <br />Approval by Board ❑ (Contrpls over $90,000.00 for goods or services, $250,000.00 for construction, or any BOCC consultant <br />contract). Approval by Manag r (All o contracts). This contract has been reviewed and approved by the Attorney as to legal <br />form and sufficiency: <br />Attorney's Signature Date: <br />County Manager <br />This contract has been reviewed and is approved by the County Manager Yes o❑ <br />This contract has been reviewed and is to be submitted fo BOCC conside a ion Yes❑NO�' <br />�Z._ <br />Manager's Signature: Date: <br />Clerk to the BaUd <br />Approved by BOCC on the _ day of , 20 Submitt d for s ` si a on a 'day of , 20 <br />Clerk's Signature: Date: <br />Revised April 2010 <br />