Orange County NC Website
Browse       Search
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: Arc of Orange County PartyNendor Contact Person: Robin Baker Contact Phone: 'arty/Vendor Address: <br /> 208 N. Columbia St. City Chapel Hill State:NC Zip:27514 Department:County Manager Amount. .3 000 P. •ose: Outside Agency <br /> Funding Budget Code(s): 10495050 719023 Vendor#50706 (N/A if new vendor) Vendor is a B•CC co.. ltant? Yes❑No[E] <br /> Contract Type: (Check one)New❑ Renewal ® Amendment ❑ Effective Date 7/1/2012 Appro :, - :oard Yes No❑ <br /> Agenda Date: 6/19/2012 Title of Contract: 2011-12 Outsi• A.enc Performance A. eement <br /> If this is a Grant Agreement,pre-application has been app •ved by the Board of Commissioners Yes❑No❑. If submitted for bid were <br /> bids/RFPs received Yes❑No❑ Bid/RFP num• r his contract has been reviewed and approved by the Department Director as to <br /> technical content: I r_ <br /> Department Director's Signature.�`�'\ a()G _ Date: 7i 1 K7 `� <br /> if ector <br /> (Applicable only to hardware/software purchases or related se 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 /> isk Management <br /> Include the following coverages: CGL; Ef Auto; WC; ❑ Professional; 2/Property; OR No Insurance Required O. 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: lrf Risk Manager's Signature: 6(('"'"'t' ✓�► Date: t 194 - <br /> Financial Services <br /> This Contract is conditioned on appropriation by the Board of Commissioners Yes❑No[E(. 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: N <br /> Financial Services Director's Signature: /11 AA...-- Date: f 24(It.- <br /> - <br /> County Attorney <br /> Approval by Board& (Contracts $90,0►`•Al0 or more for goods or services, $250,000.00 or more for construction, or any BOCC <br /> consultant contract). Approval by Manag- .! (Most other contracts$1,000 and above). Department Director approval only❑ (Under <br /> $1,000). This contract has b- review ai approved by the Attorney as to legal form and sufficiency: <br /> Attorney's Signature ...A.-011, Date: 1(23112. <br /> County Manager <br /> This contract has been reviewed and is approved by the County Manager YesffrNo❑. <br /> This contract has been reviewed and is for si.nature by the Chair Yes To❑. <br /> Manager's Signature: Oa 1,44111 Date: 7 /i._- <br /> W_ <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 March 2012 <br />