HomeMy WebLinkAbout2012-242 S Mgr - Inter Faith Council $41,000 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: Inter-Faith Council for Social Justice PartyNendor Contact Person: Chris Moran Contact Phone: 919-929-6380
Party/Vendor Address: 110 W. Main Street City Carrboro State:NC Zip:27510 Department: Outside Agency Amount: $41,000
Purpose: Outside Agency Budget Code(s): 10495050-710022 Vendor#800007 (N/A if new vendor) Vendor is a BOCC consultant?
Yes ❑No Contract Type: (Check one)New ® Renewal ❑ Amendment ❑ Effective Date 07/01/2012 Approved by Board Yes
®No❑ Agenda Date: 06/19/2012 Title of Contract: 2012-13 Outside Agency Performance Agreement
If this is a Grant Agreement,pre-application ha •een approved by the Board of Commissioners Yes❑No❑. If submitted for bid were
bids/RFPs received Yes❑No❑ Bid/RF',n ' .-r This contract has been reviewed and approved by the Department Director as to
technical content:
Department Director's Signatur ; Date: 7 -24 L.
IT
(Applicable only to hardware/software purchases or related sere, es)Thi. contract has been reviewed and approved by the Information
Technology Director as to technical content and information techn. •• ..ecifications:
IT Director's Signature: Date:
Risk Management
Include the following coverages: g/CGL; gAuto; g WC; [v"Professional; ❑ Property; ❑ OR No Insurance Required ❑. Hold
Contract pending receipt of Certificate of Insurance [ f. With incorporation of Insurance provisions as shown,this contract is approved
by the Risk Manager: JI/,I /
Risk Manager's Signature: at f".44_24_,l - ' AAA__ Date: 7/ i q I Z—
Financial Services `
This Contract is conditioned von appropriation by the Board of Commissioners Yes❑No[ A budget amendment is necessary
before approval Yes❑NoY 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:� /
Financial Services Director's Signature: C ChM/ I �'e'�"`-- Date: '�//262-
County Attorney
Approval by Board ] (Contracts over $90,000.00 for goods or services, $250,000.00 for construction, or any BOCC consultant
contract). Approval by Mana•er ❑ (All other contracts). This contract has been reviewed and approved by the Attorney as to legal
form and sufficiency:
A Attorney's Signature Ili�0 Date: ! (I3 a
County Manager
This contract has been reviewed and is approved by the County Manager YesO No❑.
This contract has been reviewed and is to be submitted for BOCC consideration Yes[}No❑. ']
Manager's Signature: eb Date: + —(� r/
Clerk to the Boa d
Approved by BOCC on the day of ,20 • p ed or Chair signature onild da, of ,20
Clerk's Signature: / I Date: f
Revised April 2010