HomeMy WebLinkAboutR 2014-337 Housing - CHICLE for translation or interpretation services 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: Perla Sailz Contact Phone: Party/Vendor address: 101 E.Weaver
St,3`d Floor City Carrboro State:NC Zip: 27510 Department: HHRCD Amount: $20,000 Purpose:Translation or Interpretation
Budget Code(s): or#43840 (N/A if new vendor) Vendor is a BOCC consultant? Yes❑No®
Contract Type: (Check one)New a enewal endment ❑ Effective Date July 1,2014 Approved by Board Yes❑No[]
Agenda Date: Title of Contract: ountywide Agency Interpreter Services Agreement
If this is a Grant Agreement,pre-application has been approved by the Board of Commissioners Yes❑No❑. '.f submitted for bid were
bids/RFPs received Yes❑Non Bid/RFP number This contract has been reviewed and approved by the Department Director as to
technical content:
Department Director's Signature: �;,zll Date:
IT -----��
Applicable only to hardware/software purchase reviewed and appro,led by the Information
Technology Director as to ontent and information technology specifications:
IT �ctorlsSignature: Date:
Risk Management
Include the following coverages: ❑ CGL; ❑ Auto; ❑ WC; ❑ Professional; ❑ Property; OR No I old
Contract pending receipt of Certificate of Insurance El. With incorporation of Insurance provisions ajshjai@oVAr a�t Tat 1 by the Risk Manager:
Risk Manager's Signature: /,� Date: 7 / JUL 0 2 2014
Financial Services By—
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 been pre-audited in the
manner required by the Local Gove udget and Fiscal CoWol Act: '
Financial Services Director's Sig t �` Date: 7
County Attorney
Approval by Board ❑ (Contracts $90,000.0 or more for goods or services, $250,000.00 or more for construction, or any BOCC
consultant contract). Approval b anager (Most other contracts$1,000 and above). Department Director approval only❑ (Under
$1,000). This contract has been e 'ewed an p ved by the Attorney as to legal form and sufficiency:
Attorney's Signature Date: 4--
County Manager
This contract has been reviewed and is approved by the County Manager Yes To❑.
This contract has been reviewed and is signature by the Chair Yes❑No❑.
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