HomeMy WebLinkAboutR 2014-171 Housing - CHICLE for assessment test oral scripts 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: CHICLE Party/Vendor Contact Person: Caterina Phillips Contact Phone: 919-933-0398 Party/Vendor Address:
101 East Weaver Street. P floor City Carrboro State:NC Zip:27510 Department:Housing/Human Rights and Community
Development Amount:$990 Purpose:Assessment Test-Oral Scripts Budget Code(s):N/A Vendor# 43840 (N/A if new vendor)
Vendor is a BOCC consultant? Yes❑No® Contract Type: (Check one)New® Renewal❑ Amendment ❑ Effective Date
04/01/14 Approved by Board Yes❑No® Agenda Date: Title of Contract: Contract Under$1,000.00
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:
I r ctor
(Applicable only to hardware/software purchases or related servic contract has been reviewed and approved by the Information
Technology Director as to technical content and information tec logy specifications:
IT Director's Signature: Date:
Risk Manazement
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 s
by the Risk Manager: D
Risk Manager's Signature: ��{� �"" Date: 7 7 MAR 3 1 2014
-1 Lt 7
Financial Services B
This Contract is conditioned 94on appropriation by the Board of Commissioners Yes❑No[9/ A
before approval Yes[:]NoM. 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: Date: /
-411
County Attorney
Approval by Board ❑ (Contracts over $90,000.00 for goods or services, $250,000.00 for construction, or any BOCC consultant
contract). Approval bXMana& ❑ (All other contracts). This contract has been reviewed and approved by the Attorney as to legal
form and sufficiency: y t Yneit� �i�i+-o1^
Attorney's Signature Date:
County Manager
This contract has been reviewed and is approved by the County Manager Yes❑Non.
This contract has been reviewed and is to be submitted for BOCC consideration Yes❑No❑.
Manager's Signature: Date: tit
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 April 2010