HomeMy WebLinkAboutR 2013-024 Health - Linda Karcher for Carrboro High School RU Club Advisor $500 ORANGE COUNTY—CONTRACT CONTROL SHEET
Routing Orde : (l)Department,(2) )T, (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. |y the Manager
determines the contract is not appropriate for Manager approval the Manager shall submit the contract for 8OCCapproval. 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: Linda Karcher. Party/Vendor Contact Person: Linda Karcher. Contact Phone: 919'018-2200 cxt 25034.
Porty/Voudor &ddruoo: 95 Carson CL City Pittu6oro. State: NC Zip: 27312 Department: Health Amount: $500 Purpose: Cunb000
High School TR0 C|n6 Advisor Budget Code(s): 10412020 630000 Vendor 57568 (NA\ if new vendor) Vendor is o BOCC
consultant? yeaFl/�o�� ContmctType: (Check one)No.w �� Renewal Amendment El Effective Date July ],2O|2.
If this is a(]runt Agreement, pre-application has been approved by the Board of Commissioners Yes No . If submitted forbid
were hidy/RFPm received Year_� NoF1 8id/RPP number This contract has been reviewed and approved by the Department
Director uototechnical content:
Department Director's Signature: Xj/,__ Date:
It Directore�'
(Applicable only to hardwarelsoftware 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: F-1 CGL; M Auto; M VC; F-1 Professional; E] Property; E] OR No Insurance Required D Hold
Contrucpendingmoeipto[CcrdOcmoof|naunmcoE]. With incorporation of Insurance provisions as shown, this contract is approved
by the Risk Manager:
Risk Manager's Signature: Date:
Financial Services
This Contract is conditioned Won appropriation by the Board of Commissioners YesoNo&." A budget amendment is necessary
before approval YesEl Nog. 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: Ua4,-� A 4,4_ Date: 4—a
County AttorneV
Approval by Board n (Contracts over $25,000.00 or any BOCC consultant contract). Approval by Manager [Y(All contracts
$25,000.00 or less with the exception of BOCC consultants). This contract has been reviewed and approved by the Attorney as to legal
form and sufficiency:
Attorney's Signature �S_" Date:
County Manner
This contract has been reviewed and is approved by the County Manager Y
OR
This contract has been reviewed and i s7si C consideration YesF2KO�
Manager's Signature: Dat/—
Clerk to the Board
Approved by Board Yes[]NoM Agenda Date:
Clerk's Signature: Date:--,—