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R 2010-059 Co Manager - Chapel Hill Carrboro Meals on Wheels
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R 2010-059 Co Manager - Chapel Hill Carrboro Meals on Wheels
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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 Carrboro Meals on Wheels Party/Vendor Contact Person: Stacey Yusko Contact Phone: 919-942- <br /> 2948 Party/Vendor Address: 109 Hillcrest Ave. City Carrboro State:NC Zip: 27510 Department: Outside Agency Amount: $1,000 <br /> Purpose: Budget Code(s): 10495050 719053 Vendor#800080 (N/A if new vendor) Vendor is a BOCC consultant? Yes❑ <br /> No® Contract Type: (Check one)New❑ Renewal ® Amendment ❑ Effective Date July 1,2010 Approved by Board Yes®No <br /> ❑ Agenda Date: June 15,2010 Title of Contract: 2010-11 Outside Agency Performance Agreement <br /> If this is a Grant Agreement,pre-application ha b , a_ pr ved by the Board of Commissioners Yes[:]No❑. If submitted for bid were <br /> bids/RFPs received Yes❑No[:] Bid/RFP n b his contract has been reviewed and approved by the Department Director as to <br /> technical content: <br /> g <br /> If <br /> Department Director's Signature: '� Date: <br /> IT Director <br /> (Applicable only to hardware/sof4vare purchases or relate services)This contract has been reviewed and approved by the Information <br /> Technology Director as to technical content and information technology specifications: <br /> IT Director's Signature: Date: <br /> Risk Management <br /> Include the following coverages: aCGL; a Auto; Er WC; O'Professional; ❑ 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: <br /> Risk Manager's Signature: G'l/�YL (jam Date: <br /> Financial Services <br /> This Contract is conditioned pon appropriation by the Board of Commissioners Yes❑Noz. A budget amendment is necessary <br /> before approval Yes❑NoA. 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: a", J�t, Date: �L <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 er ❑ (All other contracts). This contract has been reviewed and approved by the Attorney as to legal <br /> form and sufficiency: <br /> Attorney's Signature Date: <br /> County Manager <br /> This contract has been reviewed and is approved by the County Manager Y>E�No❑. <br /> This contract has been reviewed and is to be submitted for BOCC consideration Yes❑No❑. <br /> Manager's Signature: &L&a Date: <br /> Clerk to the Board <br /> Approved by BOCC on the day of ,20 Submitted for Chair signature on the da of ,20 <br /> Clerk's Signature: Date: <br /> Revised April 2010 <br />
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