HomeMy WebLinkAboutR 2014-342 Housing - San Saw Mya 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: San Saw My a Party/Vendor Contact Person: Same Contact Phone: Party/Vendor Address: 110 Fan Branch
Lane City Chapel Hill State:NC Zip:27516 Department:HHRCD Amount: $2,000 Purpose:Translation or Interpretation Budget
Code(s): ndor#61983 (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 Board Yes❑No❑ Agenda
Date: Title of Contract: Countywide Interpreter 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:
/Wom—W dw�.
'rector
(Appn—cable only to ar w es or related services)This contract has been reviewed and ormation
Technology Director as to technical content and informa
IT Directo ' ure: Date:
Risk Management
Include the following coverages: ❑ CGL; ❑ Auto; ❑ WC; ❑ Professional; ❑ Property; OR No Insurance Requiredy6—Hold
Contract pending receipt of Certificate of Insurance E]. With incorporation of Insurance provisions as s 7� jUL l coat ct $ o d
by the Risk Manager: l�r M u
Risk Manager's Signature: �� Date.7//4/
0 2 2014
liz UU
Financial Services Q
This Contract is conditioned upon appropriation by the Board of Commissioners Yes❑No❑. A bu By amenament 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 GovernmMuet and Fiscal Control ct:
t
Financial Services Director's Signatu `Date: 6
County Attorney
Approval by Board ❑ (Contracts $90,000.00 or more for goods or services, $250,000.00 or more for construction, or any BOCC
consultant contract). Approval by N ager Most other contracts$1,000 and above). Department Director approval only❑ (Under
$1,000). This contract has been red and pp ved by the Attorney as to legal form and suffici ncy: ,� J
Attorney's Signature Date: T
County Manager
This contract has been reviewed and is approved by the County Manager YesNo❑.
This contract has been reviewed and is for signature by the Chair Yes❑No❑.
Manager's Signature: Date: G 1
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