HomeMy WebLinkAboutR 2013-123 AMS - Dispute Settlement Center for Staff Training $935 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: Dispute Settlement Center Party/Vendor Contact Person: Will Dudenhausen Contact Phone:919-929-8800
Party/Vendor Address:302 West Weaver Street City Carrboro State:NC Zip:27510 Department:AMS Amount:$935 Purpose: Staff
Training,Leadership Development,Organizational Dynamics Counseling Budget Code(s). 10240320 530100 Vendor#6127 (N/A if
new vendor) Vendor is a BOCC consultant? Yes❑No❑ Contract Type:(Check one)New❑ Renewal❑ Amendment ❑
Effective Date April 22,2013 Approved by Board Yes❑NoN Agenda Date: Title of Contract:
If this is a Grant Agreement,pre-application has been approved by the Board of Commissioners Yes❑NoE. If submitted for bid were
bids/RFPs received Yes❑NoZ Bid/RFP number This contract has been reviewed and approved by the Department Director as to
technical content:
Department Director's Signature: Date:
IT D' ector
(Applicable only to hardwarelsoftware purchases or related service r contract has been reviewed and approved by the Information
10 f
Technology Director as to technical content and information technol specifications:
IT Director's Signature: Date:
Risk Management
Include the following coverages: ❑ CGL; ❑ Auto; ❑ WC; ❑ Professional; ❑ Property; OR No Insurance Require 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: Date:
Financial Services
This Contract is conditioned u n D
No
,ebn appropriation by the Board of Commissioners Yes A budget amendment is necessary
before approval YesEj 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 d Fiscal Control Act:
Financial Services Director's Signature: Date: [L3
County Attorney
Approval by Board ❑ (Contracts $90,000.00 or more for goods or services, $250,000.00 or more for construction, or any PJ@CC
consultant contract). Approval by Manager❑(Most other contracts$1,000 and above). Department Director approval onlyk (Under
$1,000). This contract has been review�dd approved by the Attorney as to legal form and sufficiency:
Attorney's Signature z Date:
Count anaze/r/
This contract has been reviewed and is approved by the County Mana erftesFj No❑.
This contract has been reviewed and is for signature by the Chair Yes El'Non.
Manager's Signature: Date:
Clerk to the oard
Approved by BOCC on the day of 20 . Su itted for Chair signature on the day of 20
Clerk's Signature: Date:
Revised March 2012