2012-398 S Health - Frame Works Institute for On-Line Learning Module $2,000

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o�l—P _ 3°18 ORANGE COUNTY-CONTRACT CONTROL SHEET Routing Order: (1)Department,(2)IT,(3)Risk Management,(4)Financial Services,(5)Attorney,(6)Manager,(7)Clerk This Document shall accompany all contracts and shall be submitted for signature in the Routing Order specified above. If the Manager determines the contract is not appropriate for Manager approval the Manager shall submit the contract for BOCC approval. Contracts for BOCC approval must be submitted through,and complete,the routing process prior to agenda review. Contracts for legal review should be completed through the legal review process prior to being routed for signature. Department xi"at_*�C 0 1 Sol q Party/Vendor Name: Frame Works Institute Party/Vendor Contact Person: Susan Nall Bales Contact Phone:301-767-0636 Party/Vendor Address: 1776 I Street,NW,9`''Floor City Washington State: DC Zip:20006 Department:Health Amount: $2,000 Purpose: On-line Learning Module Budget Code(s): 10410020 630000 Vendor#N/A (N/A if new vendor) Vendor is a BOCC consultant? Yes ❑No® Contract Type: (Check one)New® Renewal❑ Amendment ❑ Effective Date November 15,2012 Approved by Board Yes❑No❑ Agenda Date: Title of Contract: If this is a Grant Agreement,pre-application has been approved by the Board of Commissioners Yes❑No❑. If submitted for bid were bids/RFPs received Yes❑No❑ Bid/RFP number This contract has been reviewed and approved by the Department Director as to technical content: Department Director's Signature: ~ Date: U- IT Director (Applicable only to hardware/software purchases or related services)This contract has been reviewed and approved by the Information Technology Director as to technical content and information technology specifications: IT Director's Signature: Date: Risk Management Include the following coverages: ❑ CGL; ❑ Auto; ❑ WC; ❑ Professional; ❑ Property; OR No Insurance Required ['� Hold Contract pending receipt of Certificate of Insurance ❑. With incorporation of Insurance provisions as shown,this contract is approved by the Risk Manager: Risk Manager's Signature: ` �� Date: 1 y Z Financial Services This Contract is conditioned upon appropriation by the Board of Commissioners Yes❑No� A budget amendment is necessary before approval Yes❑ No�f budget amendment is necessary,please attach to this form. This instrument has been pre-audited in the manner required by the Local Government Budg t d Fiscal Control Ac Financial Services Director's Signature: ( E✓ < �� Date: �( r County Attorney Approval by Board ❑ (Contracts $90,000.00 or more for goods or services, $250,000.00 or more for construction, or any BOCC consultant contract). Approval by Manager[ (Most other contracts$1,000 and above). Department Director approval only❑ (Under $1,000). This contract has be viewed and approved by the Attorney as to legal form and sulfficie cy: Attorney's Signature Date: t County Manager -glib This contract has been reviewed and is approved by the County Manager Yes❑No❑. This contract has been reviewed and is for signature by the Ch ' Yes❑No❑. Manager's Signature: Date: Clerk to the Board Approved by BOCC on the_day of ,20 . Submitted for Chair signature on the_day of ,20 Clerk's Signature: Date: Revised March 2012