R 2014-556 Finance - Orange County Literacy Council - Outside Agency Performance Agreement $12,000

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C>?014_ Sao 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: Orange County Literacy Council Party/Vendor Contact Person: Alice Denson Contact Phone:919-914-6153 Party/Vendor Address: 200 N. Greensboro St. City Carrboro State:NC Zip: 27510 Department: Finance&Admin. Services Amount: $12,000 Purpose: Performance Agreement Budget Code(s): 10495050-710024 Vendor#800013 (N/A if new vendor) Vendor is a BOCC consultant? Yes ❑No® Contract Type: (Check one)New® Renewal ❑ Amendment ❑ Effective Date July 1,2014 Approved by Board Yes®No❑ Agenda Date: 6/17/2014 Title of Contract:2014-15 Outside Agency Performance Agreement 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: /y / Department Director's Signature: D ite: 1 f IT Director (Applicable only to hardware/software purchases or related services)This contract has en 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 ❑. Hold Contract pending receipt of Certificate of Insurance ❑. With incorporation of Insurance provisions as shoes is a roved by the Risk Manager: r f? Risk Manager's Signature: Date: NOV 10 2014 Financial Services This Contract is conditioned on appropriation by the Board of Commissioners Yes❑No� Abu amendment i necessary before approval Yes❑ NoM.If budget amendment is necessary,please attach to this form. This instrument has been pre-au rte in manner required by the Local Government Budget and Fiscal Control fAct: Financial Services Director's Signature: �GVI�,.,�,.1� /V. AA � Date: �� i ly It 1►7 County Attorney Approval by Board ❑ (Contracts 0,00 00 or more for goods or services, $250,000.00 or more for construction, or any BOCC consultant contract). Approval by a ager?] (Most other contracts$1,000 and above). Department Director approval only ❑ (Under $1,000). This contract has been re i w d and approved by the Attorney as to legal form and suffic'ency: Attorney's Signature Date: ZtI 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❑. C�14�I�P_)�2,Manager's Signature: Date:2l / Clerk ie 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