HomeMy WebLinkAboutR 2013-257 DSS - Dispute Settlement Center in to Assist County with Safety and self-sufficience $10,000 - o03- a,57
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: The Dispute Settement Center,Inc Party/Vendor Contact Person: Frances Henderson Contact�Phh,,Qne:919-9 8800 Party/Vendor Address: 302 West Weaver St City Carrboro State:NC Zip:27510 Department: DSS Amount ,000 Pse
Assist County with Safety and self-sufficiency Budget Code(s): 10403020-630000 Vendor#6127 (N/A if rne yen endor is a
BOCC consultant? Yes❑No❑ Contract Type: (Check one)New❑ Renewal ® Amendment ❑ Effe e-07/01/14
Approved by Board Yes[]Non Agenda Date: Title of Contract: The Dispute Settlement Center Inc
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❑Non Bid/RFP number This contract has been reviewed and approved by the Department Director as to
technical content:
Department Director's Signature: Date: 0'7 /5-13
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: FrCGL; [Auto; Q WC; YProfessional; ❑ Property; OR No Insurance Required ❑. 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: 4► Date:
Financial Services
This Contract is conditio;►ed on appropriation by the Board of Commissioners Yes❑No[� A budget amendment is necessary
before approval Yes❑No[y.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:
County Attorney
Approval by Board ❑ (Contracts $90,000,09 or more for goods or services, $250,000.00 or more for construction, or any BOCC
consultant contract). ApprovA by Manager CX(Most other contracts$1,000 and above). Department Director approval only❑(Under
$1,000). This contract has a revi ana approved by the Attorney as to legal form and suffi
Attorney's Signature Date: ` 13
County Manager
This contract has been reviewed and is approved by the Co ty Manager Ye
This contract has been reviewed and is o, g tMyChair Yes❑N
Manager's Signature: Date:
Clerk to the Board
Approved by BOCC on the_day of 20 Submitted for Chair signature on the_day of 20
Clerk's Signature: Date:
Revised March 2012