HomeMy WebLinkAboutR 2014-314 BOCC - LeeAnne Paulakonis for transcription services ORANGE COUNTY—CONTRACT CONTROL SHEET
Routing Order: (1)Department,(2)IT,(3)Risk Management,(4)Financial Services,(5)Attorney,(6)Manager,(7) ('Ierk
This Document shall accompany all contracts and shall be submitted for signature in the Routing Order specified above. if 01c 'V1anager
determines the contract is not appropriate for Manager approval the Manager shall submit the contract for BOCC approval. C,wltracts for
BOCC approval must be submitted through,and complete,the routing process prior to agenda review. Contracts for legal rep i e,� should
be completed through the legal review process prior to being routed for signature.
Department
Party/Vendor Name: Lee Anne Paulakonis Party/Vendor Contact Person: same Contact Phone: 919-619-7425 Party/Vendor .Address:
2219 Jonquil Trail City Mebane State:NC Zip:27302 Department:BOCC Amount: $13,000 Purpose: Transcription Budget Code(s):
10200020-630000 Vendor# (N/A if new vendor) Vendor is a BOCC consultant? Yes❑No[] Contract Type: i Check one)
New❑ Renewal® Amendment ❑ Effective Date July 1,2014 Approved by Board Yes❑No® Agerda Date: Title of
Contract:
If this is a Grant Agreement,pre-application has been approved by the Board of Commissioners Yes❑No❑. If submittal 'or bid were
bids/RFPs received Yes❑No❑ Bid/RFP number This contract has been reviewed and approved by the Department I) rector as to
technical content:
Department Director's Signature: rG�-G�- Date:
a �
IT Director
(Applicable only to hardware/software purchases or related services)This contract has been reviewed and approved by the I n formation
Technology Director as to technical content an n ormation to h lo y specifications:
IT Director's Signature:
Date:
Risk Management
Include the following coverages: ❑ CGL; ❑ Auto; ❑ WC; ❑ Professional; ❑ Property; OR No Insurance Required E. Hold
Contract pending receipt of Certificate of Insurance ❑. With incorporation of Insurance provisions as shown,this contract k approved
by the Risk Manager: ,
Risk Manager's Signature: 1 Date:
Financial Services
This Contract is conditioned on appropriation by the Board of Commissioners Yes❑No®. A budget amendment is necessary
before approval Yes❑No[ If budget amendment is necessary,please attach to this form. This instrument has been prc-audited in the
manner required by the Local Government Budgeet�/n�/d Fiscal Control Act: J
Financial Services Director's Signature: eta4-d./ �J Date:
County Attorney
Approval by Board ❑ (Contracts $90,000.00 or more for goods or services, $250,000.00 or more for construction, ot- any BOCC
consultant contract). Approval by Manager® (Most other contracts$1,000 and above). Department Director approval o111% ❑ (Under
$1,000). This contract has been revie ed and appr ved by the Attorney as to legal form and sufficiency:
Attorney's Signature Date:
County Manager
This contract has been reviewed and is app ve the County Manager Yes®No❑.
This contract has been reviewed a ' for ign t e by e hair N
Manager's Signature: Date:
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