HomeMy WebLinkAboutR 2014-405 Finance - Historical Foundation of Hillsborough and OC Outside Agency Performance Agreement aa1-,-4 -A 6 � 1 ?1,jbIq�_
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: Historical Foundation of Hillsborough and Orange County Party/Vendor Contact Person: Brandie Fields Contact
Phone: 919-732-2201 Party/Vendor Address: 201 N. Churton St. City Hillsborough State:NC Zip: 27278 Department:Finance&
Admin. Services Amount: $6,000 Purpose: Performance Agreement Budget Code(s): 10519550-710007 Vendor#3657 (N/A if new
vendor) Vendor is a BOCC consultant? Yes ❑No® Contract Type: (Check one)New ❑ Renewal® Amendment ❑ Effective
Date 7/1/2014 Approved by Board Yes®No❑ Agenda Date: 6/17/2014 Title of Contract: 2014-15 Outside Agency Performance
Agreement
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: l/C &11I�� �, M�`—" Date: Vr ly
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:
R' c Management
Include the following coverages: VCGL; uto; C; ❑ Professional; ❑ Property; OR No Insurance Required El. Hold
Contract pending receipt of Certificate of Insurance ❑. With incorporation of Insurance provisions as shown, this contract is approved
by the Risk Manager:
Risk Manager's Signature: Date: e(k
Financial Services
This Contract is conditioned on appropriation by the Board of Commissioners Yes❑No[� A budget amendment is necessary
before approval Yes❑No[y.If budget amendment is necessary, please attach to this form. This instrument has been pre-audited in the
manner required by the Local Government Budget and Fiscal Control Act: 'I
Financial Services Director's Signature: /0- Date: f 7
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 Manager A(Most other contracts $1,000 and above). Department Director approval only ❑ (Under
$1,000). This contract has b r v roved by the Attorney as to legal form and sufficiency:
Attorney's Signature Date: 6
County Manager
This contract has been reviewed and is approved b the County Manager Yes No❑.
pP Y ty g
This contract has been reviewed and is f ign re b e Chair Yes❑No❑.
g
er
Mana g 's Signature: Date: ` a
Clerk to the Board
Approved by BOCC on the_day of 20 . Subm' C it signature on the da of ,20
Clerk's Signature: Date:
Revised March 2012