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2012-079 Health - NC State $508,303
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2012-079 Health - NC State $508,303
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Last modified
7/21/2016 1:56:51 PM
Creation date
7/5/2012 3:25:49 PM
Metadata
Fields
Template:
BOCC
Date
4/12/2012
Meeting Type
Regular Meeting
Document Type
Routing
Agenda Item
Mgr Signed
Document Relationships
2011-415 Health- State of NC Health Dept contract extention
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Path:
\Board of County Commissioners\Contracts and Agreements\General Contracts and Agreements\2010's\2011
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)0L,y- j ORANGE COUNTY-CONTRACT CONTROL SHEET _ ,l <( " <br /> • <br /> d-t <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 `906 ,`" �\ <br /> PartyNendor Name: NC State PartyNendor Contact Person: Billie Matthews Contact Phone:919-707-5120 PartyNendor Address: <br /> Contracts Office City RALEIGH State: NC Zip:27699-1916 Department:CONTRACTS OFFICE Amount: 508303 Purpose: AID <br /> TO COUNTIES Budget Code(s): Vendor# (N/A if new vendor) Vendor is a BOCC consultant? Yes ❑No <br /> Contract Type: (Check one)New❑ Renewal /1 Amendment ❑ Effective Date 7/1/2012 Approved by Board Yes❑ No❑ <br /> Agenda Date: 4/3/2012 Title of Contract: RENEWAL OF CONSOLIDATED 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 Thi ontract has been reviewed and approved by the Department Director as to <br /> technical content: t i <br /> ' 1 A ,/ <br /> Department Director's Signature: //. ..0 ,• aV `late: olU 0/A. <br /> • 1 / <br /> T 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 /> Risk Management <br /> Include the following coverages: ❑ CGL; ❑ Auto; ❑ WC; ❑ Professional; ❑ Property; OR No Insurance Required E 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: 99 <br /> Risk Manager's Signature: ` ' .Date: �' 9' faZ <br /> I!OC 'd 0 3/2 )1 a '7/ U 9 4 47Let c4--6-1 j2-z4 /s/ <br /> Financial Services <br /> This Contract is condition d pon appropriation by the Board of Commissioners Yes❑Nol,%. A budget amendment is necessary <br /> before approval Yes❑ No . If budget amendment is necessary,please attach to this form. is instrument has been pre-audited in the <br /> manner required by the Lo Government Budg and Fiscal Contro Act: <br /> if if Z" <br /> Financial Services Director's Signature: a/1/44% t . Date: <br /> County Attorney <br /> Approval by Board ❑ (Contr• • $90,000.90 or more for goods or services, $250,000.00 or more for construction, or any BOCC <br /> consultant contract). Approval anager Dia(Most other contracts$1,000 and above). Department Director approval only ❑ (Under <br /> $1,000). This contract has been 1 ed and approved by the Attorney as to legal form and sufficie cy: ✓D 4.41 <br /> Attorney's Signature L2� Date: 4 II !2, h �� "� �'{mil) <br /> Y g <br /> County Manager <br /> This contract has been reviewed and is approved by the County Manager Ye No❑. <br /> This contract has been reviewed and is for signature by the (hair Yes❑N2 <br /> r■ A /. <br /> Manager's Signature: ' I/ Dater— Z 1. <br /> . v <br /> erk to the Board <br /> Approved by BOCC on the_day of r�, •0 7 . .ubmitted for Chair signature on the_day of ,20 <br /> Clerk's Signature: Date: <br /> i � L <br /> Revised March 2012 <br />
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