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Za)z-Ztd-1 ORANGE COUNTY—CONTRACT CONTROL SHEET <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 /> PartyNendor Name: CHICLE Party/Vendor Contact Person: Miriam Palacio Contact Phone:919-933-0398 PartyNendor Address: <br /> 101 E. Weaver Street 3`d floor City Carrboro State:NC Zip:27510 Department: Housing/Human Rights and Community Development <br /> Amount: $20,000 Purpose: Lauguage Interpretation/Translation Budget Code(s):N/A Vendor#43840 (N/A if new vendor) Vendor <br /> is a BOCC consultant? Yes❑No Contract Type: (Check one)New® Renewal ❑ Amendment ❑ Effective Date 07/01/2012 <br /> Approved by Board Yes❑No Agenda Date: Title of Contract:Countywide Agency Interpreter and Translation Services <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: <br /> / in/ �� /�i <br /> Department Director's Signatur: hi z Date: <br /> IT • ector <br /> (Applicable only to hardware/software purchases or related servi s) is 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 ❑. Hold <br /> Contract pending receip f Cert}ficate of Insurance . With mcorpor on of Insurance provisions as shown,this contract is approved <br /> by the Risk Manager: IS ai- ( p y ) <br /> Risk Manager's Signature: .4` Date:i 2 <br /> Financial Services <br /> This Contract is conditioned ppon appropriation by the Board of Commissioners Yes❑No[( A budget amendment is necessary <br /> before approval YesE]NoE. 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: h Financial Services Director's Signature: v` r/• ,t4'" Date: t1411 <br /> County Attorney <br /> Approval by Board ❑ (Contras over $90,000.00 for goods or services, $250,000.00 for construction, or any BOCC consultant <br /> contract). Approval by Mana:er [(All other contracts). This contract has been reviewed and approved by the Attorney as to legal <br /> form and sufficiency: <br /> 1 •' <br /> Attorney's Signature \ Date: 19, <br /> County Manager <br /> This contract has been reviewed and is approved by the County Manager Yes❑No0. <br /> This contract has been reviewed and is to be submitted for BOCC consideration Yes❑NoLl. <br /> Manager's Signature: Date: <br /> Clerk to the Board <br /> Approved by BOCC on the day of ,20 . Submitted for Chair signature on the—day of ,20 . <br /> Clerk's Signature: Date: <br /> Revised April 2010 <br />