HomeMy WebLinkAboutR 2013-153 Health - Maria E Kennedy for Consultant to increase the Nutrition Quality of foods offered at thje Triangle Sports Plex $2,500 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 speci ied above. If the Manager
determines the contract is not appropriate for Manager approval the Manager shall submit the contract for BO C approval. Contracts for
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BOCC approval must be submitted through,and complete,the routing process prior to agenda review. Co Cont-r cts for legal review should
be completed through the legal review process prior to being routed for signature.
Department
Party/Vendor Name: Consultant sportsplex Party/Vendor Contact Person: Maria E.Kennedy Contact Phon 919-233-1680
Party/Vendor Address: 102 Duncroft Court City A
,pex State:NC Zip:27502 Department: Public Health A ount: $2,500.00 Purpose:
Increase the Nutrition Quality of Foods Offered at the Triangle Sports Plex, Budget Code(s): 10412020-630000 Vendor#61891 (N/A
if new vendor) Vendor is a BOCC consultant? Yes❑NoE Contract Type:(Check one)New ❑ Amendment ❑
Effective Date May 14,2013 Approved by Board YesF1 Nor-1 Agenda Date: Title�o Z f Con= CHD Conflict Traininp,
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 t e Department Director as to
technical content:
Department Director's Signature: Date: S_
or
(Applicable only to hardwar re purchases a edservices)This contract has been reviewed and ap roved by the Information
Technology Director as to technical con ation technology specifications:
IT Director's Signat Date:
Risk Management
Include the following coverages: ❑ CGL; ❑ Auto; ❑ WC; ❑ Professional; ❑ Property; OR No In uran � Hold
Contract pending receipt of Certificate of Insurance n. With incorporation of Insurance provisions as sho ,this contract is approved
by the Risk Manager:
Risk Manager's Signature: Ll J�I Date:— qzs/ 1 3
Financial Services
This Contract is conditioned upon appropriation by the Board of Commissioners Yes❑NoG� A bul get amendment is necessary
before approval YesM NoM. If budget amendment is necessary,please attach to this form. This instrume thas been pre-audited in the
manner required by the Local Government Budget and Fiscal Control Act:
Financial Services Director's Signature: AV, Date:
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)6(Most other contracts$1,000 and above), Department Dire for approval only❑(Under
$1,000). This contract has been/fkie n pproved by the Attorney as to legal form and sufficiency:
Attorney's Signature Ti =1 Date:
County Manager
This contract has been reviewed and is approved by the County Manager Yes
This contract has been reviewed and is for s' ure the air YesnNo
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Department
6s��N
Manager's Signature: Date:
JEUrk to the Board
Approved by BOCC on the day of 20—. Submitted for Chair signature on the d y of 20
Clerk's Signature: Date:
Revised March 2012