HomeMy WebLinkAboutR 2013-098 DSS - Assistance Travel & Transport, Inc for transportation to clients identified by the county $35,000 o?O ti3-�8
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: Assitance Travel&Transport Party/Vendor Contact Person: Kenneth Williams Contact Phone:919-489-5050
Party/Vendor Address: 3710 University Drive suite 240 City Durham State:NC Zip:27707 Department: DSS Amount: $35,000
Purpose:provide transportation to clients identified by the county Budget Code(s): 10403020-633000 Vendor# (N/A if new
vendor) Vendor is a BOCC consultant? Yes ❑No[] Contract Type: (Check one)New® Renewal ❑ Amendment ❑ Effective y
Date 04/01/13 Approved by Board Yes❑No❑ Agenda Date: Title of Contract: Assistance Travel&Transport
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: Date: Od'Oy-13
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: [V1 CGL; [I Auto; [2-WC; [Z Professional; ❑ Property; OR No Insurance Re uq ired ❑. Hold
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: 0441 Al/_ Date: 4-4 13
Financial Services
This Contract is conditioned pon appropriation by the Board of Commissioners Yes❑NoW. 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:
Financial Services Director's Signature: Date: �4
County Attorney
Approval by Board ❑ (Contracts $90,000.00 or more for goods or services, $250,000.00 or more for construction, or any BOCC
consultant contract). Approval by Manager, (Most other contracts$1,000 and above). Department Director approval only ❑ (Under
$1,000). This contract has a evi e d approved by the Attorney as to legal form and suffic' ncy:
x
Attorney's Signature Date:
County Manager a
This contract has been reviewed and is approved by the County Manager Yes No❑.
This contract has been reviewed and is for signature t e Chair Yes❑No
Managers Signature: Date:
Clerk to the Board
Approved by BOCC on the_day of ,20 . Submitted for Chair signature on the day of 120
Clerk's Signature: Date:
i
Revised March 2012