Orange County NC Website
s <br /> RETURN THIS COPY TO THE CLERK'S OFFICE <br /> FOR THE PERMANENT AGENDA FILE <br /> 1. THIS CONTRACT IS A RATED ORDER RATING PAGE Of PAGES <br /> AWARD/CONTRACT UNDER DPAS (15 CFR 350) 1 3 <br /> 2. CONTRACT (Proc. Inst. !dent.) NO. 3. EFFECTIVE DATE 4. REQUISITION/PURCHASE REQUEST/PROJECT N0. <br /> 7/5010/0145 10/01/96 7/5010/0004 <br /> 5. ISSUED BY CODE LR 6. ADMINISTERED D BY CODE <br /> Item 5) <br /> EQUAL E.."PLOYMENT OPPORTUNITY COMM. EQUAL EMPLOYMENT OPPORTUNITY COMM. <br /> PROCUREMENT MANAGEMENT DIVISION CHARLOTTE DISTRICT OFFICE <br /> 1801 L STREET, N.U. ROOM 2505 129 WEST TRADE STREET, SUITE 400 <br /> 205 <br /> WASHINGTON, DC 67 CHARLOTTE, NORTH CAROLINA 28202 <br /> 7. NAME AND ADDRESS OF CONTRACTOR 8. DELIVERY <br /> (No., street, city, county, State, and ZIP Code) ❑ FOB ORIGIN Q <br /> ORANGE COUNTY HUMAN RELATIONS COMMISSION FOB DESTINATION <br /> 110 SOUTH CHURCHTON STREET 9. DISCOUNT FOR PROMPT PAYMENT <br /> HILLSBOROUGH, NC 27278 <br /> N/A <br /> 10. SUBMIT INVOICES ITEM <br /> ( 4 copies unless <br /> otherwise specified) TO E= 6 <br /> CODE FACILITY CODE THE ADDRESS SHOWN IN: AMIvE <br /> 11. SHIP TO/MARK FOR CODE 12. PAYMENT WILL BE MADE BY CODE <br /> EQUAL EMPLOYMENT OPPORTUNITY COMMISSION <br /> SAME AS BLOCK 6 FINANCIAL MANAGEMENT DIVISION <br /> 1801 L STREET, N.W. ROOM 2005 <br /> WASHINGTON, DC 20567 <br /> 13. AUTHORITY FOR USING OTHER THAN FULL AND OPEN 14. ACCOUNTING AND APPROPRIATION DATA <br /> COMPETITION: 7/5010/22/4116 $21 500 OBLIGATE <br /> 7/5010/19/4116 $506 OBLIGATE <br /> ❑ 10 USC 2304(c)( ) ® 41 USC 253(c)( 5 ) 7/5010/08/4106 $1,200 OBLIGATE <br /> 15A. ITEM NO. 158. SUPPLIES/SERVICES 15C. QUANTITY1 150. UNIT 15E. UNIT PRICE 15F. AMOUNT <br /> PROCESSING OF FISCAL YEAR <br /> 1997 FEP AGENCY TITLE VII, <br /> ADEA AND ADA CHARGE <br /> RESOLUTIONS AND PROCESSING <br /> CHARGES FOR INTAKE SERVICES, <br /> AND GENERAL FEP AGENCY <br /> TRAINING. <br /> 15G. TOTAL AMOUNT OF CONTRACT J$23,X0.00 <br /> 16. TABLE OF CONTENTS <br /> SEC. DESCRIPTION PAGE(S) SEC. DESCRIPTION PAGES) <br /> PART I - THE SCHEDULE PART 11 - CONTRACT CLAUSES <br /> X A SOLICITATION/CONTRACT FORM 3 X I 7CONTRACT CLAUSES 4 <br /> X 8 SUPPLIES OR SERVICES AND PRICES/COSTS 3 PART III IST OF DOCUMENTS. EXHIBITS AND OT4ER ATTACH. <br /> X C DESCRIPTION/SPECS/WORK STATEMENT 5 1 X I J ILIST OF ATTACHMENTS 17 <br /> X D PACKAGING AND MARKING 1 PART IV - REPRESENTATIONS AND INSTRUCTIONS <br /> X E INSPECTION AND ACCEPTANCE 1 X K REPRESENTATIONS, CERTIFICATIONS AND 9 <br /> X F DELIVERIES OR PERFORMANCE 2 OTHER STATEMENTS OF OFFERORS <br /> X G CONTRACT ADMINISTRATION DATA 4 L INSTRS CONDS AND NOTICES TO OFFERORS <br /> X I N SPECIAL CONTRACT REQUIREMENTS 3 M EVALUATION FACTORS FOR AWARD <br /> CONTRACTING OFFICER WILL COMPLETE ITEM 27 OR 18 AS APPLICABLE <br /> 17.® CONTRACTOR'S NEGOTIATED AGREEMENT (Contractor is 18.❑ AWARD (Contractor is not required to sign this <br /> required to sign this document and return I _ copies to document.) Your offer on Solicitation <br /> issuing office.) Contractor agrees to furnish and deliver Number <br /> all items or perform all the services set forth or other- including the additions or changes made by you which addi- <br /> wise identified above and on any continuation sheets for tions or changes are set forth in full above, is hereby <br /> the consideration stated herein. The rights and obliga- accepted as to the Items listed above and on any continu- <br /> tions of the parties to this contract shalt be subject to ation sheets. This award consummates the contract which <br /> and governed by the following documents: (a) this award/ consists of the following documents: (a) the Government's <br /> contract, (b) the soliciation, if any, and (c) such pro- solicitation and your offer, and (b) this award/contract. <br /> visions, representations, certifications, and specifica- No further contractual document is necessary. <br /> tions' as are attached or incorporated by reference <br /> herein. (Attachments are listed herein.) <br /> 19A. NAME AND TITLE OF SIGNER (type or print) 204 .NAME OF CONTRACTING OFFICER <br /> William L. Crowther, Chair Cynthia R. Bond <br /> Orange County Commissioners Contracting Officer P If <br /> 148. NAME OF CONTRACTOR 19C. DATE SIGNED 20 �ID ST ES Of ERI 2OC. DATE SIGNED <br /> BY �` L C�--/� 9 7 BY 4�'1 <br /> (Signature of person authorized to sign) (Si nature of Con* acting Officer) <br /> NSN 7540-01-152-8069 26-107 STANDARD FORM 26 (REV. 4-85) <br /> PREVIOUS EDITION UNUSABLE Prescribed by GSA <br /> GPO 19850-469-794 FAR (48 CFR) 53.214(a) <br />