Orange County NC Website
Browse       Search
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: El Centro Hispano Party/Vendor Contact Person: Pilar Rocha-Goldberg Contact Phone: 919-687-4635 <br /> Party/Vendor Address: 201 W. Main St. City Durham State:NC Zip: Department: Outside Agency Amount: $15,000 Purpose: <br /> Budget Code(s): 10495050 Vendor#N/A (N/A if new vendor) Vendor is a BOCC consultant? Yes ❑No® Contract Type: <br /> (Check one)New ❑ Renewal ® Amendment ❑ Effective Date July 1,2010 Approved by Board Yes®No❑ Agenda Date: <br /> 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 This c tract has been reviewed and approved by the Department Director as to <br /> technical content: <br /> Department Director's Signature: Date: <br /> - T 7,10 <br /> IT irector <br /> (Applicable only to hardware/software purchases or related se ices)This contract has been reviewed and approved by the Information <br /> Technology Director as to technical content and information to ogy specifications: <br /> IT Director's Signature: Date: <br /> Risk Management <br /> Include the following coverages: [2'CGL; []'Auto; �j WC;,❑"Professional; ❑ Property; ❑ OR No Insurance Required ❑. Hold <br /> Contract pending receipt of Certificate of Insurance E. With incorporation of Insurance provisions as shown,this contract is approved <br /> by the Risk Manager: <br /> Risk Manager's Signature: V Date: &//r116 <br /> act'd S�/`I/o <br /> Financial Services <br /> This Contract is conditioned pon appropriation by the Board of Commissioners Yes❑No A budget amendment is necessary <br /> before approval Yes❑No& 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"-,� A ��y Date: <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 Ma 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: 1 2fa10 <br /> County Manager <br /> This contract has been reviewed and is approved by the County Manager Yesp No❑. <br /> This contract has been reviewed and is to be submitted for BOC con rd rat' n YeCl'No❑. <br /> Manager's Signature: Date: <br /> Cleric to Le Board <br /> Approved by BOCC on the of ,20 Submitted for Chair signature on the ay of ,20 <br /> Clerk's Signature: Date: d v <br /> Revised April 2010 <br />