HomeMy WebLinkAbout2012-235 S Mgr - Big Brothers Big Sisters of Triangle $ 2,000 /
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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
PurtyNondorl4moo: Big Brothers Big Sisters of Triangle Party/Vendor Contact Person: Kim Breeden Contact Phone: (919)850-9772
Party/Vendor Address: 909 Aviation Parkway, Suite 1500 City Morrisville State:NC Zip:27560 Department: County Manager
Amount: $2,000 Purpose:2012-13 Outside Agency Allocation Budget Code(s): 10405050'719039 Vendor#800044 f new
vendor) Vendor is a BOCC consultant? Yes 0YuoE Contract Type: (Check one)New Renewal ■ Amendment 0 Effective
Date 07/01/2012 Approved by Board Yes Y4n0 Agenda Date: 06/)9/20)2 Title of Contract:
If this is a Grant Agreement, pre-application has been pproved by the Board of Commissioners Yeo0No0. If submitted for bid were
bids/RFPs oucived,Ycm0 YJo0 8id/DFpuu 'or This contract has been reviewed and approved by the Department Director as to
technical content:
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Department Director's 8�pmt ': „L�� Date: '2 If--/
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IT Dire or
(Applicable only to hardware/software purchases or elated services) his contrac has been reviewed and approved by the Information
Technology Director as to technical content and inf,nomiuu,00hu~ "gy specifications:
IT Director's Signature: Date:
Risk Management
Include the following coverages: 2/CQL; EfAu WC; r�'Poofeouioou|; �� Property; OR No Insurance Required Fl. Hold
Coo1,aotpeudiogrcueiptofCe�iOcutcnfluouruuoe [�� With incorporation of Insurance provisions as shown, this contract is approved
by the Risk Manager:
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QliokB�aougcr'wSignature: �~l"^�'`�"�� �� . �y*�^~ Date: ' / ' --/
Financial Services
This Contract is conditionepon appropriation by the Board of Commissioners loo0} oN/
A budget amendment is necessary
before approval },ou0 Nngial 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 Iyircotor"oSignature: //[/i-^ ^^� /]' D�uc "1/11414—
County Attorney
�� for construction, BOCC
Approval by Board �� (Contracts $90,000.00 or more for goods or services, $250,000.00 or more � c000�u oo. cn any
consultant contract). Appro ' by Manager 0 (Most other contracts$1.000 and above). Department Director approval only 0 (Under
$1,000). Thiocontructhuuh- review and approved by the Attorney as to legal form and sufficiency:
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Attorney's Signature y�' Np Date: —�i 13k }/ �X-
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County Manager
This contract has been reviewed and is approved by the County Manager YeoamoLJ.
This contrac has been reviewed and isf�roigu�ur by�eChair `yun��Nu�l.
Manager's Signature: ( Date: 7— [ C~— / 7.—C} u
Approved by BOCC on the day of ,2O /
KnC6u�o�uumreon�c day o'
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Clerk's Signature: / / v Date: /g / ? '
Revised March 2012