HomeMy WebLinkAboutR 2013-354 Finance - Rogers Eubanks Neighborhood Assoc $1,000 Outside Agency 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: Rogers Eubanks Neighborhood Assoc. Party/Vendor Contact Person: David Caldwell Contact Phone:
Party/Vendor Address: 8108 Rogers Rd. City Chapel Hill State:NC Zip: 27516 Department: Finance and Administrative Services
Amount: $1,000 Purpose: Outside Agency Budget Code(s): 10495050-719061 Vendor#62054 (N/A if new vendor) Vendor is a
BOCC consultant? Yes ❑No® Contract Type: (Check one)New® Renewal ❑ Amendment ❑ Effective Date July 1,2013
Approved by Board Yes®No® Agenda Date: June 18,2013 Title of Contract: 2013-14 Outside Agency Performance Agreement
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: 4 A., /d,-,_ Date: j l�7113
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 E]. With incorporation of Insurance provisions as shown, this contract is approved
by the Risk Manager:
Risk Manager's Signature:_6�2__ Date:
Financial Services
This Contract is conditioned on appropriation by the Board of Commissioners Yes❑No . A budget amendment is necessary
before approval Yes❑ No 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 Contro Act:
Financial Services Director's Signature: I,w Date: 2 rJ113
County Attorney
Approval by Board ❑ (Contracts $90,000 0 or more for goods or services, $250,000.00 or more for construction, or any BOCC
consultant contract). App ov I b anager4(Most other contracts$1,000 and above). Department Director approval only ❑ (Under
$1,000). This contract hal be d and approved by the Attorney as to legal form and suffic'enc :
Attorney's Signature Date:
County Manager
This contract has been reviewed and is ap roved by the County Manager Yeses No❑.
This contract has been reviewed a d f ig a ure by t C ' Ye ❑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 120 .
Clerk's Signature: Date:
Revised March 2012