HomeMy WebLinkAbout2012-239 S Mgr - El Futuro Inc $22,000 -- i
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: El Futuro,Inc PartyNendor Contact Person: Luke Smith Contact Phone: 919-688-7101 PartyNendor Address:
110 W.Main Street City Carrboro State:NC Zip: 27510 Department: Outside Agency Amount: $22,000 Purpose:Outside Agency
Budget Code(s): 10495050-719049 Vendor#57915 (N/A if new vendor) Vendor is a BOCC consultant? Yes 0 No i4 Contract
Type: (Check one)New El Renewal 0 Amendment 0 Effective Date 07/01/2012 Approved by Board Yes." No0 Agenda
Date: 06/19/2012 Title of Contract: 2012-13 Outside Agency Performance Agreement
If this is a Grant Agreement,pre-application has been approved by the Board of Commissioners Yesn No0. If submitted for bid were
bids/RFPs received Yesn Non Bid/RFP number / Th. contract has been reviewed and approved by the Department Director as to
technical content: )
44(01 1 10, 1 --
Department Director's Signature: 4 Date: 2,-. /t
i /
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I Di , or
(Applicable only to hardware/software p chases or related services)This contract has been reviewed and approved by the Information
Technology Director as to technical content an. . ormation technology specifications:
IT Director's Signature: _ Date:
Risk Management
Include the following coverages: EfCGL;tr r ErAuto; WC; SProfessional; n Property; 0 OR No Insurance Required 0. Hold
iiContract pending receipt of Certificate of Insurance . With incorporation of Insurance provisions as shown, this contract is approved
by the Risk Manager:
Risk Manager's Signature: j Afvuz._, Date: 'if I Z-- 11 2--
Financial Services
This Contract is conditionepon appropriation by the Board of Commissioners YesnNo12( 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:
Financial Services Director's Signature: C/CIA-4,-4A-- , , 141"4--- Date: if,2-/l 2-
County Attorney
Approval by Board IV1 (Contracts over $90,000.00 for goods or services, $250,000.00 for construction, or any BOCC consultant
contract). Approval by Ma :t.-r n (All other contracts). This contract has been reviewed and approved by the Attorney as to legal
form and sufficiency:
1•-All
Attorney's Signature ,..,,,, Date:
County Manager
This contract has been reviewed and is approved by the County Manager YesErFion.
This contract has been reviewed and is to be submitted for :OCC consideration Yes0Non.
Manager's Signature: 0 II' 100 Date: 7— (60—/Z_-
Clerk to the Board tiii
Approved by BOCC on the day of ,20 Sub.,. ed f. C 4 th
attire on the ,.ay of ,20 .
Clerk's Signature: / ' Date:
Revised April 2010
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