HomeMy WebLinkAboutR 2013-514 AMS - Solutions for Local Government tfor Assessment of Jail Alternative Programs $24,665 iq
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: Solutions for Local Government,Inc. Party/Vendor Contact Person: Steve Allan Contact Phone:704-578-0705
Party/Vendor Address:2301 Valencia Terrace City Charlotte State:NC Zip:28226 Department:AMS Amount:$24,665.00 Purpose:
Assessment of Jail Alternative Pro rams Budget Code(s): 61370035 870000-10051 Vendor#61295 (N/A if new vendor) Vendor is a
BOCC consultant? Yes❑No® Contract Type: (Check one)New® Renewal❑ Amendment ❑ Effective Date 12/10/13
Approved by Board Yes®No[:] Agenda Date: 12/10/13 Title of Contract:Jail Alternatives
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: ) 1 "`�— Date: 1 Z - l�- t 3
yospecifications:
(Applicable only to hardware/software purchases or related seontract has been reviewed and approved by the Information
Technology Director as to technical content and information te
IT Director's Signature: Date:
Risk ana ement
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: w e�
Risk Manager's Signature: �,.. --- Date:
Financial Services
This Contract is cont*di ed upon appropriation by the Board of Commissioners YesEBNo❑. A budget amendment is necessary
before approval YesNo❑. 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 Control Act:
Financial Services Director's Signature: Vt eGI el..(.v Date:
Zizo
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 2t(Most other contracts$1,000 and above). Department Director approval only❑ (Under
$1,000). This contract has been reviewed proved by the Attorney as to legal form and sufficiency:
Attorney's Signature Date:
County Manager
This contract has been reviewed agg is p ro d by the Co M ager Yes No❑.
This contract has been reviewe i r a t air es❑No❑.
v
Manager's Signature: Dat N
Clerk to the Board
Approved by BOCC on the_day of 120 Submitted for Chair signature on the day of ,20
Clerk's Signature: Date:
Revised March 2012