HomeMy WebLinkAbout2012-248 S Mgr - Orange Co Disability Awareness $2,500 '
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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
Pu,tyNendorNmnc Orange County Disability Awareness Council 9urtyNomdorCootact Person: Timothy Miles Contact Phone:919-
969-3032 Party/Vendor Address: 503 W.Frankling Street City Chapel Hill State:NC Zip: 27516 Department: Outside Agency
Amount:$2,500 Purpose:Outside Agency Budget Code(s): 10495050-710032 Vendor#800037 /A if new vendor) Vendor is a
BOCC consultant? Yes NoZ Contract Type:(Check one)New[E] Renewal 0 Amendment 0 Effective Date O7/Ol/2O/2
Approved by Board Yes I. luoLJ Agenda Date:06/19/12 Title v[Contract:20l2'l30umidc Agency Performance Agreement
If this is a Grant Agreement, application has be up^ oved by the Board of Commissioners Yes NoIJ. If submitted for bid were
hido/RFPo received yeoLJNnLJBid/RFPomb This contract has been reviewed and approved by the Department Director as to
technical content: NP
Dcpmmoneom0hmmonr'o8.: ature: ~~ Date: 7 ._-11 --I-_---_v� �� ' I__
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Dir. tor
(Applicable only/o6u,~' • ./m are purchases or related '' ' es)This contract es)This contract has been reviewed and approved by the Information
Technology Director as to technical content and information technology specifications:
if Director's Signature: Date:
Risk Management
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lodudvdheb,Uvp,in� �~cmAco� �� CG�� �� T�C� ��pro�;oviuuuJ� Flp,opc�Y' FlO@�oloonnm�� Bx�uircdFl. Hold
coverages: . ''-_. WC; Ni . �~ . �~ ��
, Contract pending receipt of Certificate of Insurance . With incorporation of Insurance provisions as shown,this contract is approved
by the Risk Manager:
Risk Monmger`a8igmature: 61"4,4,..)
e/( I), 41■-4--- Date: '� 2-'
Financial Services
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This Cnn�ac/ ixcoodidonod upon appropriation hy the BomdufCoonnixmiooc, Y,y[]J�oL� A budget amendment is necessary
before approval Yro0 No5r. 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:
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Financial 8er,�oaK�i�cuor`o0igoatmre' aiv1^4^-e �� D��� ^�����,�. ��' � Date: .�. �
County Attorney
Approval by Board k(Contracts over $90.000.00 for goods or services, $250,000.00 for coommcxinu, or any BOCC consultant
contract). Approval by M. e, 0 (All other contracts). This contract has been reviewed and approved by the Attorney as to legal
form and sufficiency:
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Attorney's �U
Signature /� � �
� Oc\ Date: 1 t lz
County Manager
This contrac has been reviewed and is approved by the County Manager ��.EmoLJ.
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This contrac has been reviewed and is to b submitted for BOCC consideration Y923 "0.
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Manager's Signature:
ill I 1 / /L/ Date: / z,
rk to the Board ��
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Appm,edhy BOCC oo�e day of �k, Suhmiuod�«Cb^baiguanveoumc day of ,20 .
Clerk's Signature: I� Date:r� �
Revised April 2010