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: Benjamin Beaton Party/Vendor Contact Person: Same Contact Phone: Party/Vendor Address: 107 James <br /> Helen Court City Willow Spring State:NC Zip: 27592 Department: HHRCD Amount: $5,000 Purpose: Translation or Interpretation <br /> Budget Code(s): C r#59063 (N/A if new vendor) Vendor is a BOCC consultant? Yes ❑No® <br /> Contract Type: (Check one)New SKenewal ndment ❑ Effective Date July 1,2014 Approved by Board Yes❑No❑ <br /> Agenda Date: Title of Contract: Countywide Interpreter Contract <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: Date: <br /> — pm-�w­n%JOE ) <br /> (App urch e a services)This contract has been reviewed and approved by the Information <br /> Technology Director as to content and informatio s ecifications: <br /> IT Dire <br /> is Signature: Date: <br /> Risk Management j�( <br /> Include the following coverages: ❑ CGL; ❑ Auto; ❑ WC; ❑ Professional; ❑ Property; OR No Insurance Required _ Hold <br /> Contract pending receipt of Certificate of Insurance E]. With incorporation of Insurance provisions as s Ebeen 2ei <br /> by the Risk Manager:Risk Manager's Signature: ,� Date:?��Z Financial Services <br /> This Contract is conditioned upon appropriation by the Board of Commissioners Yes❑No❑. A before approval Yes❑No❑. If budget amendment is necessary,please attach to this form. This instrument has pre-a <br /> manner required by the Local Governxn t dget and Fiscal Contr Act: <br /> 1 <br /> Financial Services Director's Signa r Date: <br /> County AttorneV <br /> Approval by Board ❑ (Contracts $90,00Q00 or more for goods or services, $250,000.00 or more for construction, or any BOCC <br /> consultant contract). Approval b Manager (Most other contracts$1,000 and above). Department Director approval only❑ (Under <br /> $1,000). This contract has bee e 'ewe pproved by the Attorney as to legal form and suffci cy: <br /> Attorney's Signature Date: a <br /> County Manager <br /> This contract has been reviewed and is approved by the County Manager Yes No❑. <br /> This contract has been reviewed and is for signature by the Chair Yes❑No❑. <br /> Manager's Signature: Date: ` � J <br /> C 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 March 2012 <br />