HomeMy WebLinkAbout2012-238 S Mgr - Dispute Settlement Center $76,000 `, :Y- z-°,8��
ORANGE COUNTY—CONTRACT CONTROL SHEET
Routing Order: (1)Department,(%)I1,(3)Risk Management,(4)Financial Services, (5)Attorney,(6)Manager,(7)Clerk
This Document ehuUaccompany uUcou�uc�and xhuU6oxu6m(�ed for»�nu�roindo0uut�g Order q»ood]cdu6n ' 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
PurtyNondorNome: Dispute Settlement Center Party/Vendor Contac Person: Frances Henderson Contact Phone: 919-929-8800
Party/Vendor Address: 302 Weaver Street City Carrboro State: NC Zip:27510 Department: Outside Agency Amount: $76,000
Purpose: Outside Agency Budget Cnde(s): l04y5050'7l0003 Vendor#800029 fu*vvvendor) \/cndnrixu80CCconsultant?
| Yes o�� Com�uctType: (Check one)7�c", �� Renewal Amendment ' Effective Date 07/01/2012 Approved 6yBumd Yca
0� y4o[l Agenda Title 0\2 \30moidx'�g Agency (� Agreement
^� Date: ' c xy Performance ��romu
If this is a Grant Agreement, pre-application ha •ecuup. oved by the Board of Commissioners l'oxnNo[D. If submitted for bid were
bids/RFPs received Yes No Bid/RFP ur ;r This contract has been reviewed and approved by the Department Director as to
technical content: 1 �r
~~t ~ � 8^0epon|mxnt0irectoc'o8�outnr~ ~u Date: 7—J7�
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IT Di • or
(Applicable only to purchases or related servie' )This co' ract has been reviewed and approved by the Information
Technology Director as to technical content and information techno ^: °cciOcuhouu:
IT Director's Signature: Date:
Risk
Include the following coverages: RICGL; [0 WC; [�'Pnoftoxiona\; �l Property; �� OR No Insurance Required E. Hold
Com�uotpending receipt ofCc�i�oate of Insurance ��� With incorporation of Insurance provisions as shown, this contract is approved
by the Risk Manager:
Risk Manager's Signature: �1t4_4z, ��` �?r�`�-- Date:
Financial Services
This Contract is uppoop�z¢iouhythe BnmdofCommisinncn Yeo�l]�o��� .� budgo amendment is necessary
before approval YesE Now'. If budget amendment is necessary, please attach to this form. This instrument has been pre-audited in the
manner required by the Local Government B d d Fi l Co Act:
Financial Services Director's Signature: 61(4,4-4.--'
~~— '•
Date: 7//4[7--
County Attorney
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Approval by Board �� (Coo¢ucm over $90,000.00 for goods or services, $250,000.00 for construction, or any BOCC consultant
contract). Approval by M^"^gr, 0 (All other contracts). This contract has been reviewed and approved by the Attorney as to legal
form and xuffiuicnuy:
Attorney's Signature . "` 12/.... Date: —41.31 =
County Manager
This contract has been reviewed and is approved by the County Manager orl
This contract has been reviewed and is to be submitted for BOCC consideration l,n^ayop.'A()
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Manager's 8iAuu�uro� / J� 0 Date: 7 —^ /(';'~~I Z---
Clerk to the Board /
Approved hy8()CCou the day u[ Submitted signature �
� 'duy of .20 .
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Clerk's Signature: �^ J& .��~ cc 4 �/ /�_~.~
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Revised April 2010