HomeMy WebLinkAboutR 2014-161 Health - Accounting Principles Inc. for temporary staffing services c=�)O144 - t tp t
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: Accounting Principles Inc. Party/Vendor Contact Person: Matt Fulghum Contact Phone: 919-828-3940
Party/Vendor Address: 5400 Trinity Rd#204 City Raleigh State:NC Zip:27607 Department:Public Health Amount: $22,000
Purpose: Provider wioll provide the county with temporary staffing services Budget Code(s): 10410020-630000 Vendor#N/A (N/A if
new vendor) Vendor is a BOCC consultant? Yes❑No® Contract Type:(Check one)New® Renewal❑ Amendment ❑
Effective Date FebruM 1,2014 Approved by Board Yes❑No❑ Agenda Date: Title of Contract:Accounting grinciples
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: 3 .ZO q
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 show ,D
by the Risk Manager:
Risk Manager's Signature: Ii �/" � Date: / MAR 2 4 2014
Financial Services gy
This Contract is conditioned pon appropriation by the Board of Commissioners Yes❑NoE/ A bud
before approval Yes❑ Nov If budget amendment is necessary,please attach to this form. This instrument has been pre-audited in the
manner required by the Local Government Bud et and Fiscal Control Act-
Financial Services Director's Signature: Date:
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). Approv Manager(Most other contracts$1,000 and above). Department Director approval only El (Under
$1,000). This contract has b n r vie and approved by the Attorney as to legal form and sufficiency:
Attorney's Signature Date: 3
County Manager �
This contract has been reviewed and is proved by the County Manager YesU- o❑.
This contract has been reviewed a for g t e by e C Ye No❑.
U
Manager's Signature: Date:se f
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