HomeMy WebLinkAbout2012-072 S Child Support - Starpoint Global Services $52,000 -- — �
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�.01J,-073- ;^):;, _c/«-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
PurtyNcndor Name: Party/Vendor Contact Person: Clay Brinkley Contact Phone: (919)933 0247
Party/Vendor Address: PU Box 5\5\ City Chapel Hill State:NC Zip: 27514 Department: Child Spp Amount: $52,000 Purpose:
CJE Scanning Project Code(s): Vendor# if new vendor) Vendor is a BOCC consultant?
Contract Type: (Check one)New Renewal D Amendment El Effective Date 04/02/2U|2 Approved by Board YceZNo0
Agenda Date: Title of Contract:
If this is a Grant Agreement, pre-application has been approved by the Board of Commissioners Yco0NoZ. If submitted for bid were
bids/RFPu received You[]}Jo[l Bid/RFP number This contract has been reviewed and approved by the Department Director as to
technical content:
Department Director's Signature: ' ' Date: -5 i 7-4/ 2
IT Director
(Applicable only to hardware/software purchases or related services)This contract has been reviewed and approved by the Information
Technology Director as to technical content and information technology specifications:
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IT Director's Signature: zl=am� ---- Date: �� 12 K ft 2_-
Risk Management
Include the following coverages: 2'CGL; R4uto; alA/C; 0 Professional; Fl Property; OR No Insurance Required 0. Hold
Contract pending receipt of Certificate of Insurance Z. With incorporation of Insurance provisions as shown, this contract is approved
by the Risk Manager:
Risk Manager's Signatu Dmc: �� ' ����' y7~~
a�c �� 3/zv�z/�� ��e '�l�
Financial Services
This Contract is conditi uppropda1ionhy the Board ofConmioaioncm leoEIN A budget amendment is necessary
uppzuvu| Yno0 . If budget amendment is necessary, please ouucbtothis form. ƒh� ino�umcnt has been pre-audited in the
manner required hy the Locu[Government Budget
nd Fiscal Control Act:
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Financial Services]0iceotor`oSignature: ' , ~ Date: �� / `� '
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^ConntyAoorvey
Approval by Board Ej (Contracts $90,000.00 or more for goods or services, $250,000.00 or more for construction, or any BOCC
consultant contract). Approval by Manager 4 (All other contracts). This contract has been reviewed and approved by the Attorney as
to legal form and sufficiency:
/1
Atu�roey^o8iAuutunr '/-� ^ * Date: /�� '
r County Manager
This contrac has been reviewed and is approved by the County M y L].
This contract has been reviewed and is for signature by the Chu. YoxZNoLl~~'^-
'i 1 / /�MumuAer,vSiQuotuce: Date: 4-(6- /
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"C)' t. /b Board
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�\pprovodhy8(}CConthe day of .20 f '� � Chair oigo/nurcoothe/ day of .20 .
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Clerk's Signature: '/ ^ �/~- Date: �' /''- 6
Revised November 2011