HomeMy WebLinkAboutR 2013-404 HR - Job Ready Services LLC Fit for Duty Testing $ 10,000 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 0
Party/Vendor Name: Job Reams Services,LLC Party/Vendor Contact Person: Debra Lord Contac hone: 919-256-1400 Party/Vendor
Address:2300 Westinghouse Blvd Suite 107 City Raleigh State:NC Zip:27604 Department:N A Amount: 10,000 Purpose: Fit For
D gy Testine Budget Code(s): 10250020 630000 Vendor#N/A (N/A if new vendor) Vendor is a BOCC consultant? Yes❑NON
Contract Type:(Check one)New® Renewal❑ Amendment ❑ Effective Date 7/1/2013 Approved by Board Yes®NOD
Agenda Date: 6/18/2013 Title of Contract:Job Ready Services,LLC
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: q- 3 �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: i2rCGL; [Auto; W Professional; ❑ Property; OR No Insurance Required ❑. Hold
Contract pending receipt of Certificate of Insurance incorporate of insurance provisions as shown, this contract is approved
by the Risk Manager:
Risk Manager's Signature: Date: di 3
Financial Services
This Contract is conditioneil
on appropriation by the Board of Commissioners Yes❑No�. A budget amendment is necessary
before approval Yes❑No f bu dget 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 Ac
Director's Signature:
U d"L,c—, ��"�^-- Date: J ��
Financial Services g
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 M (Most other contracts$1,000 and above). Department Director approval only❑ (Under
Idi
$1,000). This contract has b evi w and approved by the Attorney as to legal form and sufficie cy,
Attorney's Signature Date: a
County Manager
This contract has been reviewed and is ap rov by the County Manager Yes❑NOD.
This contract has been reviewe is s' n ture e Y s No❑.
G
Manager's Signature: Date:
Clerk to the Board
Approved by BOCC on the_day of Submitted for Chair signature on th�' ay of ,20
Clerk's Signature: Date: '�( 2
Revised March 2012