Orange County NC Website
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 /> Party/Vendor Name: HMMon mery PartyNendor Contact P erson: Helene Montgomery Contact Phone:919-967-1002fp�I <br /> PartyNendor Address: ane City Chapel Hill State:NC Zip:27514 Department:Housing/Human Rights a mmunity <br /> Development Amount: urpose: Lauguage Interpretation/Translation Budget Code(s):N/A Vendor# (N/A if new <br /> vendor) Vendor is a ant? Yes ❑No® Contract Type:(Check one)New® Renewal® Amendment ❑ Effective <br /> Date 07/01/2013 Approved by Board Yes❑No® Agenda Date: Title of Contract:Countywide Agency <br /> Interpreter/Trans later Services 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 /> Department Director's Signature: 114, Date: <br /> LIZ <br /> IT D► ctor <br /> (Applicable only to hardware/software purchases or related servic contract has been reviewed and approved by the Information <br /> Technology Director as to technical content and information technology silecifications: <br /> IT Director's Signature: Date: <br /> Risk Ma ement <br /> Include the following coverages: [] CGL; E] Auto; El WC; o ssional; ❑ Property; ❑ OR No Insurance Required ❑. 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: j <br /> Risk Manager's Signature: U&14� , ^.4 Date: #f <br /> Financial Services <br /> This Contract is conditioned Aon appropriation by the Board of Commissioners Yes❑NoQ/ A budget amendment is necessary <br /> before approval Yes❑NoM. 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: <br /> Financial Services Director's Signature: da,4 ✓ I A., Date: 7 7 <br /> County Attorney <br /> Approval by Board ❑ (Contracts over $90,000.00 for goods or services, $250,000.00 for construction, or any BOCC consultant <br /> contract). Approval by:Mana (Al l other contracts). This contract has been reviewed and approved by the Attorney as to legal <br /> form and sufficiency: YN <br /> Attorney's Signature Date: 1 <br /> County Manager <br /> This contract has been reviewed and is approved by the County Manager YesL'lao❑. <br /> This contract has been reviewed and is to be submitted BOCC consideration Yes❑No❑. <br /> z s� <br /> Manager's Signature: Date:7, <br /> ,v .y <br /> Clerk to the Board <br /> Approved by BOCC on the,day of ,20 Submitted for Chair signature on the,day of 120 <br /> Clerk's Signature: Date: <br /> Revised April 2010 <br />