R 2014-473 Health - Jill Hill to facilitate health literacy training for Healthy Carolinians of Orange County

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ORANGE COUNTY—CONTRACT CONTROL SHEET Routing Order: (1)Department,(2)IT,(3)Risk Management,(4)Financial Services,(5)Attorney,(6)Manager,(7)Clerk This Document shall accompany all contracts and shall be submitted for signature in the Routing Order specified above. If the Manager determines the contract is not appropriate for Manager approval the Manager shall submit the contract for BOCC approval. Contracts for BOCC approval must be submitted through,and complete,the routing process prior to agenda review. Contracts for legal review should be completed through the legal review process prior to being routed for signature. Department Party/Vendor Name: Jill Hill Party/Vendor Contact Person: Jill Hill Contact Phone: Party/Vendor Address: 313 Rossburn Way City Chapel Hill State:NC Zip:27516 Department:Public Health Amount: $200.00 Purpose:Provider will facilitate health literacy training for Healthy Carolinians of Orange County_ Budget Code(s): 10412020-630000 Vendor#N/A (N/A if new vendor) Vendor is a BOCC consultant? Yes❑No® Contract Type: (Check one)New® Renewal ❑ Amendment ❑ Effective Date August 11,2014 Approved by Board Yes[]No❑ Agenda Date:must 11,2014-August 27,2014 Title of Contract: Health Literacy JH If this is a Grant Agreement,pre-application has been approved by the Board of Commissioners Yes❑No❑. If submitted for bid were bids/RFPs received Yes❑No❑ Bid/RFP number This contract has been reviewed and approved by the Department Director as to technical content: Department Director's Signature: Date: C2 L/ IT Director (Applicable only to hardware/software purchases or related services)This contract has been reviewed and approved by the Information Technology Director as to technical content and information technology specifications: IT Director's Signature: Date: Risk Management Include the following coverages: ❑ CGL; ❑ Auto; ❑ WC; ❑ Professional; ❑ Property; OR No Insurance Required n. Hold Contract pending receipt of Certificate of Insurance ❑. With incorporation of Insurance provisions as sho L Celt R dry by the Risk Manager: IL�� Risk Manager's Signature: Date: AUG 2 8 2014 Financial Services By This Contract is conditioned ypon appropriation by the Board of Commissioners Yes❑No[/ A budget amendment is necessary before approval Yes❑No[1If budget amendment is necessary,please attach to this form. This instrument has been pre-audited in the manner required by the Local Government Budget and Fiscal Control Act, Financial Services Director's Signature: lGv Date: `S r� °1118 County Attorney Approval by Board ❑ (Contracts $90,000.00 or more for goods or services, $250,000.00 or more for construction, or any BOCC consultant contract). Approval by anager❑ (Most other contracts$1,000 and above). Department Director approval only,](Under $1,000). This contract has been r vi ed and approved by the Attorney as to legal form and sufficien y: ` 1 Attorney's Signature Date: County Manager This contract has been reviewed and is approved by the County Manager Yes❑No❑. This contract has been reviewed and is for signature by the Chair Yes❑No❑. Manager's Signature: Date: Clerk to the Board Approved by BOCC on the_day of 20 . Submitted for Chair signature on the_day of ,20 Clerk's Signature: Date: Revised March 2012