HomeMy WebLinkAboutR 2013-278 Aging - Town of Chapel Hill for Program Support Senior Lunch Program $15,000 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: Town of Cha ep l Hill Party/Vendor Contact Person: Coco Hall Contact n 9e 19-969 Fe artyNendor
Address:405 MLK Jr Blvd City Cha ep 1 Hill State:NC Zip:27514 Department: A in ount: 15 A se:Pro agr m Support
Budget Code(s): 10430105-449000-71086 Vendor#64 (N/A if new vendor) Vendor' a ultans❑No® Contract
Type: (Check one)New❑ Renewal® Amendment ❑ Effective Date July 1,2013 Approved by Board Yes❑No❑ Agenda
Date: Title of Contract: Performance Agreement-Senior Lunch Program
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: 7-1f-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: ❑ CGL; ❑ Auto; ❑ WC; ❑ Professional; ❑ 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: 4t 1� l�Q���� Date: �' )1 3
le.n .. —71 zivl 13
Financial Services
This Contract is conditioned gpon appropriation by the Board of Commissioners Yes❑No❑. A budget amendment is necessary
before approval Yes❑NOW. 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: 0.01"Olf -0W^ Date: 4 13
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 been v w a approved by the Attorney as to legal form and suffic ency:
Attorney's Signature Date:
County Manager
This contract has been reviewed and is approved by the County Manager Yes No❑.
This contract has been reviewed and is for signature by the Cha' Yes❑No
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