HomeMy WebLinkAbout2012-308 S Health - Cooperative Extension Service for Services of a Garden Manager for Fairview Community Garden $12,000 cl-�c
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
Party/Vendor Name: Cooperative Extension Party/Vendor Contact Person: Carl Matyac Contact Phone:919-245-2051 Party/Vendor
Address: 306-E Revere Road City Hillsborough State:NC Zip:27278 Department:Health Amount:$12,000 Purpose: Provide
Services of a Garden Manager for the Fairview Community Garden Budget Code(s): Vendor# (N/A if new vendor)
Vendor is a BOCC consultant? Yes❑No[D Contract Type:(Check one)New E Renewal❑ Amendment ❑ Effective Date
August 1,2012 Approved by Board Yes❑NoE Agenda Date: Title of Contract:
If this is a Grant Agreement,pre-application has been approved by the Board of Commissioners Yes❑No❑. If submitted for bid were
bids/RFPs received Yes❑No❑ Bid/RFP number This contract has been reviewed and approved by the Department Director as to
technical content:
Department Director's Signature: 64efl 4�A Date: b 1z
IT Director
(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:
Risk Management
Include the following coverages: ❑ CGL; ❑ Auto; ❑ WC; ❑ Professional; ❑ Property; ❑ OR No Insurance Required � Hold
Contract pending receipt of Certificate of Insurance With incorporation of Insurance provisions as shown,this contract is approved
by the Risk-Manager: �q�l
Risk Manager's Signature: Date:
Financial Services
This Contract is conditioned/pon appropriation by the Board of Commissioners YesE]Noal/ 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 ao Fiscal Control Act:
Financial Services Director's Signature: t,,t�✓ VA_4V_1_ Date: Zr
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 Manager (All other contracts). This contract has been reviewed and approved by the Attorney as to legal
form and sufficiency:
Attorney's Signature Date:
County Manager
This contract has been reviewed and is approved by the County Manager Ye4;3 0 -
This contract has been reviewed and is to be submitted for BOCC consideration YesMNoE�t'
Manager's Signature: Date:
Clerk to the Board
Approved by BOCC on the__day of 20 Submitted for Chair signature on the day of 20__.
Clerk's Signature: Date:
Revised April 2010