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R 2010-079 Co Manager - Historic Hillsborough Commission outside agency agreement
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R 2010-079 Co Manager - Historic Hillsborough Commission outside agency agreement
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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)Cleric <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: Historic Hillsborough Commission Party/Vendor Contact Person: Katharine Paulhamus Contact Phone: 919-732- <br /> 7451 Party/Vendor Address: P.O. Box 922 City Hillsborough State: NC Zip: 27278 Department: Outside Agency Amount: $7,000 <br /> Purpose: Budget Code(s): 10519550 710005 Vendor# 19187 (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 t 'e Board of Commissioners Yes❑No❑. If submitted for bid were <br /> bids/RFPs received Yes❑No❑ Bid/RFP number �nt act has been reviewed and approved by the Department Director as to <br /> technical content: <br /> Department Directors Signature: e: <br /> IT Director <br /> (Applicable only to hardware/sof4vare 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: EF CGL; ['Auto; El WC; ['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: 7Cvm e- Date: & /3 �d <br /> Financial Services <br /> This Contract is condition d pon appropriation by the Board of Commissioners Yes❑No A budget amendment is necessary <br /> before approval Yes❑ NoX. 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: �y <br /> Financial Services Director's Signature: <br /> A Ao,_ Date: <br /> County Attorney <br /> Approval by Board (Co cts over $90,000.00 for goods or services, $250,000.00 for construction, or any BOCC consultant <br /> contract). Approval by Man ger ❑ (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 No❑. <br /> This contract has been reviewed and is to be submitted for BOCC ideration Yes o❑. <br /> � ll <br /> Manager's Signature: Date: v U <br /> ClXto the Board <br /> Approved by BOCC on the day of 4 ,20 Submitted for Chair signature on the da of ,20 <br /> Clerk's Signature: Date: �91o2 <br /> 1(11 <br /> v <br /> Revised April 2010 <br />
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