Orange County NC Website
ORANGE COUNTY—CONTRACT CONTROL SHEET <br /> Routing Order: (/)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 Muou&e, <br /> determines the contract io not appropriate for Manager approval the Manager shall submit the contract for|00CCapproval. Contracts for <br /> BOCC approval must br submitted through,and complete,the routing process prior tu agenda review. Contracts for legal review should <br /> be completed through the legal review process prior to being routed for signature. <br /> Department <br /> Party/Vendor Name: Dispute Settlement Center Party/Vendor Contac Person: Will Dudenhausen Contact Phone:919-929-8800 <br /> party/Vondo,Addremu: 302 Weaver Street CdyCarItoro State:NC Zip:27510 Department: Public Health Amount:$l, 52 Purpose: <br /> Preparing six four hour trainings for all OCHD employees, Budget Code(s): 10410020, 10410120, 10412020, 10413020, 10414020 <br /> 63{8}00 Vendor#6l27 if new vendor) Vendor iou8OCCconsultant? Yes n NoZ Contract Type:(Check one)New Z <br /> Ronevvu| Fl Amendment R Effective Date May 1,2083 Approved hyBoard lrexnY4o[] Agenda Date: Title of <br /> Contract:OCHD Conflict Training <br /> }f this |xuGrant Agreement,pre-application has been approved by the Board of Commissioners YeoFlNoFl. )f submitted for bid were <br /> bidx/0PPo received~/ouFlNoF� Bid/RF9 number This contract has been reviewed and approved hy the Department Director uato <br /> technical content: <br /> Department Director's Signature: ^ Date: <br /> IT Director <br /> (Applicable only to hardwarelsoftware pur ated is contract has been reviewed and approved 6y the Information <br /> Technology Director as to technical content mation tec no cifications: <br /> IT Director's Signatu - Date: <br /> Risk Manazement <br /> Include the following coverages: E CGL; ) Aoto; F WC; n Professional; E Property; OR No Insurance Required d <br /> Bu|d <br /> Contract pending receipt of Certificate ofInsurance F�. With incorporation of Insurance provisions as shown,this contract is approved <br /> by the Risk Manager: <br /> 3 Risk Manager's Signature: A Date: " <br /> -ia�' 5112151ns <br /> Financial Services <br /> This Contract is conditioned 4&n appropriation by the Board of Cnonoimoime, Y=mE]Nn[B A budget amendment is necessary <br /> before approval YomE]Y4n[y. If budget amendment is occ*aaacy,please attach to this form. This instrument has been in the <br /> manner required 6y the Local Government Budget and Fiscal Control Act: <br /> Financial Services Director's Signature: Date: -/ <br /> County Attorn2y <br /> Approval by Board F-1 (Contracts $90,000-00 or more for goods or services, $250`000.00 or more for construction, or any B0CC <br /> contract). \�y �� (&�u other �\ 8OOondab ). Dcpa�o�omDi��o��uppnumdon\y N(Uoder <br /> ~"""°�~~^~~ ' '^,r^~`~ ~~^^^~�~^ �� '` - --''---- ' <br /> $l,0OO). This contract has by the Attorney as to legal form and sufficiency: <br /> Attorney's Signature Date: LS <br /> County Manage <br /> This contract has been reviewed and m approved Uy the County Manager ceoOmoLJ. <br /> C�- <br /> This cmnto�/b b reviewed and is for / n <br /> Manager's Signature: <br /> V CZ1 the Board <br /> Approved byB<}CCnn the__.day of 20___. Submitted for Chair signature oo the day of 20____. <br /> Clerk's Signature: Date: <br /> Revised March 2012 <br />