HomeMy WebLinkAboutR 2014-369 Aging - Katherine Leith for Senior Times Editor 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: Katherine Leith Party/Vendor Contact Person: same Contact Phone: Party/Vendor Address:36 Clover
Drive City Chapel Hill State:NC Zip:27517 Department: Aging Amount: $4,000.00 Purpose: Senior Times Editor Budget Code(s):
10430120-63-29000 Vendor#52922 (N/A if new vendor) Vendor is a BOCC consultant? Yes❑No® Contract Type: (Check one)
New❑ Renewal ® Amendment ❑ Effective Date 07/11/14 Approved by Board Yes❑No® Agenda Date: Title of
Contract: Senior Times Editor
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:
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 old
Contract pending receipt of Certificate of Insurance ❑. With incorporation of Insurance provisions a r i tr t a ved
by the Risk Manager:
U_ 11 2014
Risk Manager's Signature: �'"r Date:
'1114 By-
Financial
Services
This Contract is conditioned upon 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 en pre-audited in the
manner required by the Local Government Budget and Fiscal Control Act: 7 9
Financial Services Director's Signatu . 7 DateCW°
County Attorney f efQv1G6:r v)RLG'o
Approval by Board ❑ (Contracts 000.-0Q or more for goods or services, $250,000.00 or more for construction, or any BOCC
consultant contract). Approval by ana r (Most other contracts$1,000 and above). Department Director approval only❑ (Under
$1,000). This contract has been re ie a nd approved by the Attorney as to legal form and suff�ic7i
Attorney's Signature Date: `L
County Manager
This contract has been reviewed and is approved by the County Manager Yes fNo❑.
This contract has been reviewed and is for signature by the Chair Yes❑No❑.
Manager's Signature: ryr 6' �' Date: l r
s
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