HomeMy WebLinkAboutR 2014-137 Health - Transit Advertising - Town of Chapel Hill shall provide advertising for HCHD ��.-- 137
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: Transit Advertising Party/Vendor Contact Person: Chip Hutchinson Contact Phone: 919-696-4951 Party/Vendor
Address: 6900 Millhouse Rd City Chapel Hill State:NC Zip:27516 Department:Public Health Amount: $3498.00 Purpose:Town of
Chapel Hill shall provide advertising,for OCHD Budget Code(s): 10412020-680050 Vendor#41530 (N/A if new vendor) Vendor is
a BOCC consultant? Yes ❑No® Contract Type: (Check one)New® Renewal ❑ Amendment ❑ Effective Date
Approved by Board Yes❑No❑ Agenda Date: Title of Contract: Transit Advertising
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: t�
Department Director's Signature: Date:
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 ❑. With incorporation of Insurance provisions as shown,this contract is approved
by the Risk Manager:
Risk Manager's Signature: -<< (/ (���-� Date: D
Financial Services FEB - 7 2013
This Contract is conditioned u n appropriation by the Board of Commissioners Yes❑NoR. A budge endment is necessary
before approval Yes❑No[V. If budget amendment is necessary,please attach to this form. This instrument s been pre-audited in the
manner required by the Local Government Bud et and Fiscal Contr 1 Ac : BY
it Date: Z Financial Services D ec tor's Si gnature: aaqwu
-2111
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[� (Most other contracts$1,000 and above). Department Director approval only❑ (Under
$1,000). This contract has bee r iewe d approved by the Attorney as to legal form and sufficiency:
Attorney's Signature Date:
County Manager
This contract has been reviewed and is ppr ed by the County Manager Yes o❑-
This contract has been reviewe d i or natur y hai es❑No
Manager's Signature: Date:
Clerk to the Board /�
Approved b BOCC on the day of 20 Submitt for air signature on the day" Y ,20
APP Y — Y
Clerk's Signature:_ Date: l
Revised March 2012