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R 2010-078 Co Manager - Dispute Settlement Center outside agency agreement
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R 2010-078 Co Manager - Dispute Settlement Center outside agency agreement
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e' 1 <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: Dispute Settlement Center Party/Vendor Contact Person: Frances Henderson Contact Phone: 919-929-8800 <br /> Party/Vendor Address: 302 Weaver St. City Carrboro State:NC Zip:27510 Department: Outside Agency Amount: $16,000 Purpose: <br /> Budget Code(s): 10495050 710003 Vendor#800029 (N/A if new vendor) Vendor is a BOCC consultant? Yes ❑No® <br /> 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 has been approved by the Board of Commissioners Yes❑No❑. If submitted for bid were <br /> bids/RFPs received Yes❑No❑ Bid/RFP number Th contract has been reviewed and approved by the Department Director as to <br /> technical content: <br /> Department Director's Signature: Date: <br /> I Direct <br /> (Applicable only to hardware/software purchases or related 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; ["Auto; DWC; [I—Professional; ❑ Property; ❑ OR No Insurance Required D. 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: Date: sh- /C) <br /> sec cW 00le//0 <br /> Financial Services <br /> This Contract is conditioned upon appropriation by the Board of Commissioners Yes❑No%. A budget amendment is necessary <br /> before approval Yes❑ Nom. 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: �J <br /> Financial Services Director's Signature: U4V4_W • AV— Date: b `�I,U <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 ana r (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: ) ? 2-0I0 <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 to be su fitted for BOC c nsider ion Yes No❑. <br /> Manager's Signature: Date: lit) <br /> CI i"k to the Board <br /> Approved by BOCC on the day of ,20 Submitted for Chair signature on the day of ,20 <br /> Clerk's )Signature: Date: �Z <br /> Revised April 2010 <br />
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