HomeMy WebLinkAboutR 2014-346 Housing - Helene Montgomery 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. Contract,,,for legal review should
be completed through the legal review process prior to being routed for signature.
Department
Party/Vendor Name: Helene Mont og mery Party/Vendor Contact Person: Same Contact Phone: Party/Vendor Address: 112
Boulder Lane City Chapel Hill State:NC Zip: 27514 Department:HHRCD Amount: $5,000 Purpose: Translation or Interpretation
Budget Code(s): Vendor#40677 (N/A if new vendor) Vendor is a BOCC consultant? Yes❑No®
Contract Type: (Check one)New® enewal endment ❑ Effective Date July 1,2014 Approved by B z)ard Yes❑No[]
Agenda Date: Title of Contract: Countywide Interpreter/Translator Contract
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:
App tca e on y lated services)This contract has been reviewed and appro-✓e3'57Wie Information
Technolo as to technical content and information technology specs ications: ___,
IT Director's Signature: Date:
Risk Management
Include the following coverages: CGL Auto; ❑ Professional; ❑ Property; OR No Insurance Required']. Hold
g g ❑ ❑ ❑ WC;
Contract pending receipt of Certificate of Insurance ❑. With incorporation of Insurance provisions as sho D,I
WAS V=71
by the Risk Manager:
Risk Manager's Signature: /� ---- Date: JUL O 2 2014
'11Z
Financial Services By
This Contract is conditioned upon appropriation by the Board of Commissioners Yes❑No❑. A bu
before approval Yes[:]No❑. If budget amendment is necessary,please attach to this form. This instrument hits been pre-audited in the
manner required by the Local Government B g nd Fiscal Control A
Financial Services Director's Signature: Date:
County Attorney
Approval by Board ❑ (Contracts $90,000. 0 or more for goods or services, $250,000.00 or more for cor struction, or any BOCC
consultant contract). Approva Manager[(Most other contracts$1,000 and above). Department Director approval only El (Under
$1,000). This contract has b r viewed and approved by the Attorney as to legal form and suffic'ency:
Attorney's Signature Date:
County Manager
This contract has been reviewed and is approved by the County Manager Yes No❑.
This contract has been reviewed and is fo 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