HomeMy WebLinkAbout2012-251 S Mgr - PreTrial Services for Chatham and Orange Counties Inc $70,000 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
PartyNendor Name: PreTrial Services for Chatham and Orange Counties,Inc. PartyNendor Contact Person: Joyce Kuhn Contact
Phone: (919)644-7160 PartyNendor Address: 100 N.Churton Street,Suite 205 City Hillsborough State:NC Zip: 27278 Department:
Outside Agency Amount:$70,000 Purpose:Outside Agency Budget Code(s): 10495050-710035 Vendor#29193 (N/A if new vendor)
Vendor is a BOCC consultant? Yes❑No►,,1 Contract Type:(Check one)New® Renewal ❑ Amendment ❑ Effective Date
07/01/2012 Approved by Board Yes/i No❑ Agenda Date: 06/19/2012 Title of Contract: 2012-13 Outside Agency Performance
Agreement
If this is a Grant Agreement,pre-application has bee, approve. •y the Board of Commissioners Yes❑No❑. If submitted for bid were
bids/RFPs received Yes❑No❑ Bid/RFP nu Ober / h' contract has been reviewed and approved by the Department Director as to
technical content: �a-. �(, 7
Department Director's Signat _ & / a Date: - -(7- L
T I ector
(Applicable only to hardware/software purchases or related services) _ : tract 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: [v"CGL; Auto; E -WC; ET Professional; ❑ Property; ❑ OR No Insurance Required ❑. Hold
Contract pending receipt of Certificate of Insurance Q. With incorporation of Insurance provisions as shown,this contract is approved
by the Risk Manager:
jRisk Manager's Signature:
Date: 7/' 4,2
Financial Services
This Contract is conditioned on appropriation by the Board of Commissioners Yes❑NoZ 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 Budget and Fiscal Control Act:
AAAA---
Financial Services Director's Signature: �' Date: 11141z--
County Attorney
Approval by Board NI (Contracts over $90,000.00 for goods or services, $250,000.00 for construction, or any BOCC consultant
contract). Approval by Man _er ❑ (All other contracts). This contract has been reviewed and approved by the Attorney as to legal
form and sufficiency: ' (�
Attorney's Signature
I ' `�J^` Date: 0_
County Manager
This contract has been reviewed and is approved by the County Manager YesErNo❑.
This contract has been reviewed and is to be sub I o BO a onsideration Yesj o❑.0
Manager's Signature:
/ Date:7-/6 '/2
Cl• k to ie Boar
Approved by BOCC on the day of ,20 T fitted 1p,. • signature on the /y of ,20 .
Clerk's Signature: / / _ Date: / 7/1z.,
Revised April 2010 .