HomeMy WebLinkAboutR 2013-146 Health - Dispute Settlement Center for Preparing six four hour trainings for all OCHD employees $1,557 ORANGE COUNTY—CONTRACT CONTROL SHEET
Routing Order: (/)Department,(2)IT,(3)Risk Management,(4)Financial Services,(5)Attorney,(6)Manager,(7)Clerk
This Document shall accompany all contracts and shall be submitted for signature in the Routing Order specified above. If the Muou&e,
determines the contract io not appropriate for Manager approval the Manager shall submit the contract for|00CCapproval. Contracts for
BOCC approval must br submitted through,and complete,the routing process prior tu agenda review. Contracts for legal review should
be completed through the legal review process prior to being routed for signature.
Department
Party/Vendor Name: Dispute Settlement Center Party/Vendor Contac Person: Will Dudenhausen Contact Phone:919-929-8800
party/Vondo,Addremu: 302 Weaver Street CdyCarItoro State:NC Zip:27510 Department: Public Health Amount:$l, 52 Purpose:
Preparing six four hour trainings for all OCHD employees, Budget Code(s): 10410020, 10410120, 10412020, 10413020, 10414020
63{8}00 Vendor#6l27 if new vendor) Vendor iou8OCCconsultant? Yes n NoZ Contract Type:(Check one)New Z
Ronevvu| Fl Amendment R Effective Date May 1,2083 Approved hyBoard lrexnY4o[] Agenda Date: Title of
Contract:OCHD Conflict Training
}f this |xuGrant Agreement,pre-application has been approved by the Board of Commissioners YeoFlNoFl. )f submitted for bid were
bidx/0PPo received~/ouFlNoF� Bid/RF9 number This contract has been reviewed and approved hy the Department Director uato
technical content:
Department Director's Signature: ^ Date:
IT Director
(Applicable only to hardwarelsoftware pur ated is contract has been reviewed and approved 6y the Information
Technology Director as to technical content mation tec no cifications:
IT Director's Signatu - Date:
Risk Manazement
Include the following coverages: E CGL; ) Aoto; F WC; n Professional; E Property; OR No Insurance Required d
Bu|d
Contract pending receipt of Certificate ofInsurance F�. With incorporation of Insurance provisions as shown,this contract is approved
by the Risk Manager:
3 Risk Manager's Signature: A Date: "
-ia�' 5112151ns
Financial Services
This Contract is conditioned 4&n appropriation by the Board of Cnonoimoime, Y=mE]Nn[B A budget amendment is necessary
before approval YomE]Y4n[y. If budget amendment is occ*aaacy,please attach to this form. This instrument has been in the
manner required 6y the Local Government Budget and Fiscal Control Act:
Financial Services Director's Signature: Date: -/
County Attorn2y
Approval by Board F-1 (Contracts $90,000-00 or more for goods or services, $250`000.00 or more for construction, or any B0CC
contract). \�y �� (&�u other �\ 8OOondab ). Dcpa�o�omDi��o��uppnumdon\y N(Uoder
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$l,0OO). This contract has by the Attorney as to legal form and sufficiency:
Attorney's Signature Date: LS
County Manage
This contract has been reviewed and m approved Uy the County Manager ceoOmoLJ.
C�-
This cmnto�/b b reviewed and is for / n
Manager's Signature:
V CZ1 the Board
Approved byB<}CCnn the__.day of 20___. Submitted for Chair signature oo the day of 20____.
Clerk's Signature: Date:
Revised March 2012