HomeMy WebLinkAboutR 2014-428 Finance - Marian Cheek Jackson Center for Saving and Making History - Outside Agency Performance Agreement �
ORANGE 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 iothe 0od�ropco��dahovo� If�o��anu��r |
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determines the contract im not appropriate for Manager approval the Manager shall submit the contract for BOCC approval. Contracts for
BDCC 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:
Contact Phone: 919-960-1670 Party/Vendor Address: 512 W.RosemM St. City Chapel Hill State:NC Zip:27516 Department:
Finance&Admin. Services Amount: $6,000 Purpose:Performance Agreemen Budget Code(s): 10495050-719065 Vendor#838482
(N/A if new vendor) Vendor is a BOCC consultant? Yes 0 NoE Contract Type: (Check one)New F-1 Renewal Z Amendment
F-1 Effective Date 7/1/2014 Approved by Board YesE No[] Agenda Date:6/17/2014 Title of Contract:2014-15 Outside Agenc
Performance Agreement
[f this iou Grant Agreement,pre-application has been approved by the Board uf Commissioners ycaFlNnFl. |f submitted for bid were
hido/Rfpx received YexFlNoM Bid/RFy number This contract has been reviewed and approved hy the Department Director ao0u
technical content:
Department Director's Signature: Date:
IT Director
(Applicable only to hardwarelsoftware 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:
Risk Manazement
Include the following coverages: F1 CGL; M Auto; M WC; M Professional; M Property; OR No Insurance Required M. Hold
Contract pending receipt of Certificate of Insurance M. With incorporation of Insurance provisions as sho" �" t� Till 7r1%
by the Risk Manager: ��17
Risk Manager's Signature: Date: -711�e AUG 18 2014
Financial Services
This Contract is conditioned on appropriation by the Board of Commissioners Yes[]NoFf A budgutianiendinvilt is 111M.TsMy
. If budget amendment is necessary,please attach to this form. This instrument has been pre-audited in the
before approval YesE] V11
manner required by the Local Government Budget and Fiscal Contr. Act:. 4,1111
Financial Services Director's Signature: y A., Date:
County Attorney
Approval by Board F] (Contracts $90,000.00 or more for goods or services, $250,000.00 or more for construction, or any BOCC
consultant contract). Approval by 4anager XMost other contracts $1,000 and above). Department Director approval only M(Under
$1,000). This contract has been rev w a ed by the Attorney as to legal form and sufficiency:
Attorney's Signature Date: 212Jol
CountV Manage
This contract has been reviewed and is approved by the County Manager Yes��om.
This contract has been reviewed and is signature byglie Chair YesEjNoM.
Manager's Signature: Date: Z7-
Clerk to the Board
Approved by BOCC on the_day of 20—. Subulitted for Chair signature on the day 20_.
Clerk's Signature: /Z"A Date:
Revised March 2012
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