HomeMy WebLinkAbout2012-236 S Mgr - Chapel Hill Carrboro Meals on Wheels $1,500 _,<_ }L2- ;2::-y~
ORANGE COUNTY-CONTRACT CONTROL SHEET
Routing Order: (l)Depmbucn1,(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
Party/Vendor Name: Chapel Hill Carrboro Meals on Wheels Party/Vendor Contact Person: Stacey Yusko Contact Phone: 919-942-
2948 Party/Vendor Address: 1712 Willow Dr. City Chapel Hill State:NC Zip: 27514 Department: County Manager Amount: $1,500
Purpose: Outside Agency Budget Code(s): 10405050'719053 Vendor#80005 new vendor) Vendor is a BOCC consultant?
Yes o61 Contract Type: (Check one)New Reoe,vu\LI Amendment 0 Effective Date 07/01/2012 Approved by Board Yes
tEyVorl Agenda Date: O6/lP/20)2 Title of Contract:20 12-13 Outside Agency Performance Agreement
If this is a Grant Agreement pre-application h • -n proved by the Board of Commissioners Ycy0 Nu0. If submitted for bid were
bido/RFyx received 9co0No[] Bi This contract has been reviewed and approved 6y the Department Director uoto
technical content: '
liOIL 7 ~ 1- K L
Department Director's Signature: « --- Date:
D' •otor
(Applicable only to hardware/software purchases or related services)This contract has been reviewed and approved by the Information
Technology Director as to technical content and information technology specifications:
IT Director's Signature: Date:
isk Management
Include the following coverages: d CGL; [d Auto; WC; IIU Professional; 0 Property; OR No Insurance Required D. Hold
EldR
Contract 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:
njaatv4-4-1 .13. 41A-A-- Date: 7-(1 -ii-
Financial Services
This Contract is conditionepon appropriation by the Board of Commissioners Yes0No[g< A budget amendment is necessary
before approval Yes0 NolUr. 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: (44„,L, if), 41--
County Attorney
Approval by Board kt (Contracts $90,000.00 or more for goods or services, $250,000.00 or more for construction, or any BOCC
consultant contract). Appr• al by Manager Ei (Most other contracts$1,000 and above). Department Director approval only 0 (Under
$1,000). This contract ha, s - revie ,,ed and approved by the Attorney as to legal form and suffi iency:
ill
■ ,41 9.---\
County Manager
This contract has been reviewed and is approved by the County Manager YesErNo0.
This contract has been reviewed and is for signature by the Chair Yes2I1o0.
DAQ ot
a k to the Board /6
Approved by BOCC on the day of 4111111A li i. Submitted for Chair sign ture on e d., of ,20 .
Clerk's Signature: ir ap Date: / t 2-----
Revised march 2012