HomeMy WebLinkAboutR 2014-130 Aging - Steven Warnock for MAP 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: Steven Warnock Party/Vendor Contact Person: Contact Phone: Party/Vendor Address: 30 Copper
Hill Court City Durham State:NC Zip:27713 Department: Aging Amount: $5,600 Purpose:MAP Budget Code(s): 10430020-
630120 Vendor#62314 (N/A if new vendor) Vendor is a BOCC consultant? Yes❑No® Contract Type:(Check one)New
Renewal❑ Amendment ❑ Effective Date 2/05/14 Approved by Board Yes[]No® Agenda Date: Title of Contract:
MAP Outreach Project
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:
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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:
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Include the following coverages: ❑ CGL; Auto; ❑ WC; ❑ Professional; ❑ Property; OR No Ins Hold
Contract pending receipt of Certificate of Insurance ❑. With incorporation of Insurance provisions as sho LF3s Tpif
by the Risk Manager: uu
Risk Manager's Signature: Date: JAN 31 2013
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Financial Services y
This Contract is conditioned on appropriation by the Board of Commissioners Yes❑No[ A budget amendment is necessary
before approval Yes❑No[ZIf 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: 6tqj��C.-, Date: 3 S 1
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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). Approv by Manager (Most other contracts$1,000 and above). Department Director approval only❑ (Under
$1,000). This contract has be n eviewed and approved by the Attorney as to legal form and sufficiency:
Attorney's Signature Date: 3 b
County Manager
This contract has been reviewed and i pr d by the Cou ty M pager Yes No❑.
This contract has been reviewe d' or ig atur y th a' es❑No❑.
Manager's Signature: / Dater
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