Orange County NC Website
`, :Y- z-°,8�� <br /> ORANGE COUNTY—CONTRACT CONTROL SHEET <br /> Routing Order: (1)Department,(%)I1,(3)Risk Management,(4)Financial Services, (5)Attorney,(6)Manager,(7)Clerk <br /> This Document ehuUaccompany uUcou�uc�and xhuU6oxu6m(�ed for»�nu�roindo0uut�g Order q»ood]cdu6n ' 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 /> PurtyNondorNome: Dispute Settlement Center Party/Vendor Contac Person: Frances Henderson Contact Phone: 919-929-8800 <br /> Party/Vendor Address: 302 Weaver Street City Carrboro State: NC Zip:27510 Department: Outside Agency Amount: $76,000 <br /> Purpose: Outside Agency Budget Cnde(s): l04y5050'7l0003 Vendor#800029 fu*vvvendor) \/cndnrixu80CCconsultant? <br /> | Yes o�� Com�uctType: (Check one)7�c", �� Renewal Amendment ' Effective Date 07/01/2012 Approved 6yBumd Yca <br /> 0� y4o[l Agenda Title 0\2 \30moidx'�g Agency (� Agreement <br /> ^� Date: ' c xy Performance ��romu <br /> If this is a Grant Agreement, pre-application ha •ecuup. oved by the Board of Commissioners l'oxnNo[D. If submitted for bid were <br /> bids/RFPs received Yes No Bid/RFP ur ;r This contract has been reviewed and approved by the Department Director as to <br /> technical content: 1 �r <br /> ~~t ~ � 8^0epon|mxnt0irectoc'o8�outnr~ ~u Date: 7—J7� <br /> ~ I L <br /> - <br /> 1 � <br /> IT Di • or <br /> (Applicable only to purchases or related servie' )This co' ract has been reviewed and approved by the Information <br /> Technology Director as to technical content and information techno ^: °cciOcuhouu: <br /> IT Director's Signature: Date: <br /> Risk <br /> Include the following coverages: RICGL; [0 WC; [�'Pnoftoxiona\; �l Property; �� OR No Insurance Required E. Hold <br /> Com�uotpending receipt ofCc�i�oate of Insurance ��� With incorporation of Insurance provisions as shown, this contract is approved <br /> by the Risk Manager: <br /> Risk Manager's Signature: �1t4_4z, ��` �?r�`�-- Date: <br /> Financial Services <br /> This Contract is uppoop�z¢iouhythe BnmdofCommisinncn Yeo�l]�o��� .� budgo amendment is necessary <br /> before approval YesE Now'. 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 B d d Fi l Co Act: <br /> Financial Services Director's Signature: 61(4,4-4.--' <br /> ~~— '• <br /> Date: 7//4[7-- <br /> County Attorney <br /> � <br /> � <br /> Approval by Board �� (Coo¢ucm over $90,000.00 for goods or services, $250,000.00 for construction, or any BOCC consultant <br /> contract). Approval by M^"^gr, 0 (All other contracts). This contract has been reviewed and approved by the Attorney as to legal <br /> form and xuffiuicnuy: <br /> Attorney's Signature . "` 12/.... Date: —41.31 = <br /> County Manager <br /> This contract has been reviewed and is approved by the County Manager orl <br /> This contract has been reviewed and is to be submitted for BOCC consideration l,n^ayop.'A() <br /> OP <br /> Manager's 8iAuu�uro� / J� 0 Date: 7 —^ /(';'~~I Z--- <br /> Clerk to the Board / <br /> Approved hy8()CCou the day u[ Submitted signature � <br /> � 'duy of .20 . <br /> -• .� . <br /> Clerk's Signature: �^ J& .��~ cc 4 �/ /�_~.~ <br /> � ���-7--'------- K-'�'N / <br /> ��� <br /> Revised April 2010 <br />