HomeMy WebLinkAbout2012-191 S DSS - Northern Blue for Legal Services $165,000 t . �if.P CL
;PI)s�l -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
Party/Vendor Name: Northern Blue Party/Vendor Contact Person: Carol Holcomb Contact Phone: 919-968-4441 PartyNendor
Address: PO Box 2208 City Chapel Hill State:NC Zip: 27515-2208 Department: DSS Amount: not to exceed$165,000 Purpose: legal
services Budget Code(s): 1040022063400 Vendor# (N/A if new vendor) Vendor is a BOCC consultant? Yes❑No❑
Contract Type:(Check one)New❑ Renewal ® Amendment ❑ Effective Date 07/01/12 Approved by Board Yes No❑
Agenda Date: 06/05/12 Title of Contract:Northern Blue L.L.P
If this is a Grant Agreement, pre-application has been approved by the Board of Commissioners Yes❑No❑. If submitted for bid were
bids/RFPs received Yes❑No❑ Bid/RFP number This contract has been reviewed and approved by the Department Director as to
technical content:
Department Director's Signature: _i,,` - Date: OL )-)-t L
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:
IT Director's Signature: Date:
Risk Management
Include the following coverages: ❑ CGL; ❑ Auto; ❑ WC; [Professional; ❑ Property; OR No Insurance Required D. Hold
Contract pending receipt of Certificate of Insurance ❑. With incorporation of Insurance provisions as shown, this contract is approved
by the Risk Manager:
CQ 1i
Risk Manager's Signature: Iii. ,�� Date: �"
Financial Services
This Contract is condition pon appropriation by the Board of Commissioners Yes❑NoX. A budget amendment is necessary
before approval Yes❑No If budget amendment is necessary, please attach to this form. This instrument has been pre-audited in the
manner required by the Local Government Bud et and Fiscal Control Act:
Financial Services Director's Signature: �'In,G.,vv ,p, Date: ia(1-
County Attorney
Approval by Boarntracts $90,000.00 or more for goods or services, $250,000.00 or more for construction, or any BOCC
consultant contract). Approval by Manager❑ (Most other contracts$1,000 and above). Department Director approval only ❑ (Under
$1,000). This contract has been revi wed proved by the Attorney as to legal form and sufficiency:
Attorney's Signature Date: 7--q--/a
County Manager
This contract has been reviewed and is approved by the County Manager Ye No❑.
This contract has been reviewed and is for •. ure . N
the air Yes ' Q
er g
Manager's Signature: ' � ' ' Date: 0
g
Clerk to , Board
Approved by BOCC on the day of ,2 i S . itted for Chair signature .i, I da of ,20 .
Clerk's Signature: Date:
� f
Revised March 2012
Requisition Approved Page 1 of 1
Central Stores Requisition #14268 has been Approved
Created On: 6/22/2012 2:37:33 PM Accounts to Charge
For: Social Services
Created By: Serena McPherson 10400120-621000- - Social $5.00
Phone: 245-2871 Services
Pick up $0.00
by: Serena McPherson $0.00
EMail: smcpherson @co.orange.nc.us $0.00
Phone: 245-2871
$0.00
Total Cost. . . $5.00
Cat Unit Row
Qty Description # Unit Cost Cost Details
1 ID CARDS, SPECIAL ACCESS, 930 EACH $5.00 $5.00
PROXY, EMPLOYEE, PHOTO
Notes:
Caraina Garris - intern- 06/27/12 - Beth Creech, supervisor
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http://server 1.co.orange.nc.us/purchasing/Requisitions/RegApproved.asp?txtRequisition=14268 6/22/2012