Orange County NC Website
Browse       Search
P4- 4)4 <br /> 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: Chapel Hill Carboro City Schools Party/Vendor Contact Person: Rudy Pittman Contact Phone: 919-967-8211 <br /> ext;28226 Party/Vendor Address: 750 S. Merrit Mill Road City Chapel Hill State:NC Zip:27516 Department:Public Health Amount: <br /> $460,684 Purpose: Providing school nursing services to the students in the Chapel Hill Carrboro city school system Budget Code(s): <br /> 10495020-631100 Vendor#22226 (N/A if new vendor) Vendor is a BOCC consultant? Yes❑NoZ Contract Type: (Check one) <br /> New❑ Renewal Z Amendment F-1 Effective Date July 1,2014 Approved by Board Yes❑No❑ Agenda Date: <br /> Title of Contract: Agreement For School Nursing Services Between The County Of Orange And The Chapel Hill Carrborro City Schools <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 /> (Applicable only to hardwarelsoftware purchases or related services)This contract has been reviewed and approve y n <br /> Technology Director as to technical content and information technology specifications: <br /> Risk Management <br /> Include the following coverages: ❑ CGL; F-1 Auto; ❑ WC; ❑ Professional; ❑ Property; OR No Insurance Required Hold <br /> Contract pending receipt of Certificate of Insurance n. With incorporation of Insurance provisions as sho scontract is 2roved <br /> by the Risk Manager: n rn) <br /> Risk Manager's Signature: Date: AUG 2014 <br /> SIG <br /> Financial Services <br /> This Contract is conditioned upon appropriation by the Board of Commissioners YesE]No&�' A 42 amendment is necessary <br /> before approval Yes❑Noa. If budget amendment is necessary,please attach to this form. This instrument has been_p_re_--a—ua—Md-ft7ftW <br /> manner required by the Local Government Budget and Fiscal q4?ntrol Act: <br /> 'y Financial Services Director's Signature. Date: <br /> County Attorney <br /> Approval by Board ❑ (Contracts $90,000.00 or more for goods or services, $250,000.00 or more for construction, or any BOCC <br /> consultant contract). Approval by Manager (Most other contracts$1,000 and above). Department Director approval only❑(Under <br /> $1,000). This contract has been revi d d roved by the Attorney as to legal form and sufficiency: <br /> Attorney's Signature Date: <br /> County Manager <br /> This contract has been reviewed and is approved by the County Manager Yes E�'/NoEJ. <br /> This contract has been reviewed and is f natur y the Chair Yes❑No❑. <br /> Manager's Signature: Date: <br /> t <br /> Clerk to the oard <br /> Approved by BOCC on the_day of 20 Submitted for Chair signature on the—day of 20 <br /> Clerk's Signature: Date: <br /> Revised March 2012 <br />