HomeMy WebLinkAboutR 2013-396 Health - Barry E Oldham for Enforcing Food Lodging and Institutional Sanitation Laws and Rules $ 6.000 o?O l3-
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 s ttld
be completed through the legal review process prior to being routed for signature.
Department
Party/Vendor Name: Barry E. Oldham Party/Vendor Contact Person: Barry E. Oldham Contact Phone: P / ndor Address:
876 Reno Sharps Store Rd. City Bear Creek State:NC Zip: 27207 Department: Public Health Amount: P ose: Provider will
enforce Food Lodging and Institutional Sanitation laws and rules Budget Code(s): 10413020-630000 A (N/A if new
vendor) Vendor is a BOCC consultant? Yes❑No® Contract Type: (Check one)New ® Renewal❑ Amendment ❑ Effective
Date August 6,2013 Approved by Board Yes[]No❑ Agenda Date: Title of Contract: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❑Nor-] Bid/RFP number This contract has been reviewed and approved by the Department Director as to
technical content:
c
Department Director's Signature: Date: ',z —)3
fT
(App a dware/software purchases or related services)This contract has been reviewed and approved by the nor
Technology Director as to technica c to s ecifications:
Risk Managementy ,,rQ c �
Include the following coverages: 5CGL; Auto; 0 WC; ❑ Professional; ❑ Property; OR No Insurance Required JZ. 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: VS Date:
19 Financial Services
This Contract is conditioned on appropriation by the Board of Commissioners Yes❑NZ( 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 Budg t and Fiscal Contr Act:
Financial Services Director's Signature: 00+' w _b 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). Approva by Manager (Most other contracts$1,000 and above). Department Director approval only❑ (Under
$1,000). This contract has be e ie and approved by the Attorney as to legal form and sufficciency:
Attorney's Signature Date: q
County Manager
This contract has been reviewed and is approved by the County lager Yes No[:].
This contract has been reviewed and is for signature b e C s No r
Manager's Signature: Date: ^1 GG�
g g
le to the Board
Approved by BOCC on the day of 20-Lz Submitted for Chair signature on the_day of ,20
CIP-' ature: Date:
1 2012