HomeMy WebLinkAboutR 2014-374 Housing - Caterina Phillips for interpretation aoIJ4 - 37q
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: Caterina Phillips Party/Vendor Contact Person: Same Contact Phone: 919-451-3499 Party/Vendor Address: 1403
Woodburn Road City Durham State:NC Zip:27705 Department: Amount: Purpose: Interpretation Budget Code(s):
Vendor#43840 (N/A if new vendor) Vendor is a BOCC consultant? Yes❑No❑ Contract Type:(Check one)New❑
Renewal ® Amendment ❑ Effective Date July 1,2014 Approved by Board Yes❑No[] Agenda Date: Title of
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: 7
irect
(Applicable only to hardware/so re pu ervices) contract has b e and approved by the Information
Technology Director as to technical content and information t
IT Director' re: Date:
Risk Management DDDD //////������
Include the following coverages: ❑ CGL; ❑ Auto; ❑ WC; ❑ Professional; ❑ Property; OR Ishow,Ins ic�uired Hold
Contract pending receipt of Certificate of Insurance ❑. With incorporation of Insurance provisions fpcq*& i Trlle
by the Risk Manager: ''VV�r 1155 Ll 15 Risk Manager's Signature: G� Date: 7 / �P J JUL 16 2014
111(0
Financial Services B�f
This Contract is conditioned upon appropriation by the Board of Commissioners Yes❑No❑. A budget amen ent is necess
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 Governme B get and Fiscal Contr ct:
Financial Services Director's Signat e- Date: �6 f
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 Manager (Most other contracts$1,000 and above). Department Director approval only❑ (Under
$1,000). This contract has bee r iewe d pproved by the Attorney as to legal form and suffici ncy
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 for 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