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HomeMy WebLinkAboutR 2013-332 Health - Roberto Diaz to enforce food, lodging, and Institutional sanitation laws and rules $6,000 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: Roberto Diaz Party/Vendor Contact Person: -Rob•.:rt Diaz Contact Phon • Party/Vendor Address:2213 Stroller Avenue City D urham State:NC Zip: 27705 Depurtmc ni.: Public health Amoun . 6,000 rpose:To enforce food, lodging, and Institutional sanitation laws and rules Budget Code(s): !.04110'10- 30000 Vendor# /A (N/ new vendor) Vendor is a BOCC consultant? Yes ❑No® Contract Type: (Check one)New .ciw�,al E] Amendment Effective Date July 31,2013 Approved by Board Yes❑No❑ Agenda Date: Title of Contras : REHS Service Contract 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: K,7-15 Airector (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 Maii�ig!; went ,_,/ Include the following coverages: ❑ CGL; ❑ Auto; L_i \vv; i-1 Pwfes,ional. ❑ Property; OR No Insurance Required 2 Hold Contract pending receipt of Certificate of Insurance ❑. `'Vith ir,corpu!Aiun of Insurance provisions as shown, this contract is approved by the Risk Manager: Risk Manager's Signature: lf� `` ' A Date: 'per 9l t3 Financial Services This Contract is conditioned pon appropriation by the Board of Commissioners Yes❑Noy A budget amendment is necessary before approval Yes❑NoM. If budget amendment is necessary, please attach to this form. This instrument has been pre-audited in the manner required by the Local Government Bud et and Fiscal Control Act: 1 r� ` Financial Services Director's Signature: l c A " A11111 3�Date: G County Attorney Approval by Board ❑ (Contracts $90,000 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 bee eview a d approved by the Attorney as to legal form and sufficiency: Attorney's Signature_ Date: D t_owity Jklanly er This contract has been reviewed and is approved by the Uouuty Manat er Ye,%i' o❑. This contract has been reviewed and is for signature by the.Chair Yes❑No©-- Manager's Signature: Date:,i 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