HomeMy WebLinkAbout2012-385 S Manager - Orange County Literacy Council $12,000 ,=.Q0 A=q—
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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
Party/Vendor Name: Orange County Literacy Council Party/Vendor Contact Person: Alice Denson Contact Phone:919-636-4457
Party/Vendor Address:200 N.Greensboro Street City Carrboro State:NC Zip:27609 Department:Outside Agency Amount: $12,000
Purpose:Outside Agency Budget Code(s): 10495050-710024 Vendor#800013 (N/A if new vendor) Vendor is a BOCC consultant?
Yes❑No® Contract Type:(Check one)New® Renewal❑ Amendment ❑ Effective Date 07/01/2012 Approved by Board Yes
®No❑ Agenda Date: 06/19/2012 Title of Contract:2012-13 OutsideAgencz Performance Agreement
If this is a Grant Agreement,pre-application has been approved y the ar of ommissio es❑No❑. If submitted for bid were
bids/RFPs received Yes❑No❑ Bid/RFP number Thi ontra has en r ed and approved by the Department Director as to
technical content:
Department Director's Signature: Date: 10 2,.7,12__
IT D for
(Applicable only to hardware/software purchase r related ices) is contract has been reviewed and approved by the Information
Technology Director as to technical content and in on technology specifications:
IT Director's Signature: Date:
Risk Mnna ement
Include the following coverages: CGL; [v(Auto�WC; Professional; ❑ Property; E] OR No Insurance Required [:1. Hold
Contract pending receipt of Certificate of Insurance With incorporation of Insurance provisions as shown,this contract is approved
by the Risk Manager:
1
Risk Manager's Signature: 1t/� tt/ ! ', Date: Z L
Financial Services
This Contract is conditioned on appropriation by the Board of Commissioners Yes No 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:
R n
Financial Services Director's Signature: C.�l a�G'" /i> Date: I I Z
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 Mana r ❑ (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 Yes❑'&o❑
This contract has been reviewed and is to be submitted for BOCC consider ion YeSON00—
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