HomeMy WebLinkAboutR 2014-431 Finance - Compass Center for Women and Families - Outside Agency Performance Agreement ^=;�3�_�-/�J- _
ORANGE COUNTY—CONTRACT CONTROL SHEET
Routing Order: (\)Department,(2)IT,(3)Risk Management,(4)Financial Services,(5)Attorney,(6)Manager,(7)Clerk
This Document shall accompany all contracts and shall he submitted for signature io the Routing Order specified above. If the Manager
determines the contract im not appropriate for Manager approval the Manager shall submit the contract for B0CCapproval. Contracts for
80CC 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
purtyyVoodorY4moe: Compass Center for Women and Families P /Vendor Contact Person: Ann Gerhardt Contact Phone: 919-968-
4610 9auy/VcodnrAddn:uo: PO Box 1057 City Chqlg|Hill State:NC Zip:25714 Department: Amount:
$64,50X0 porP a
BOCC consultant? Yes F NoM Contract Type: (Check one)New[I Renewal Z Amendment F Effective Date 7/1/2014
Approved by Board YesZ NoF1 Agenda Date:6/17/2014 Title of Contract:2014-15 Outside Agency Performance Ajp_rreement
uIvthis ,^u Grant Agreement, pre-application has been approved ny the Board oz Commissioners xcoomoF]. oxunonozoouxniuv/crn
hidu/RDPu received YexF]NuF Bid/RFP number This contract has been reviewed and approved by the Department Director as to
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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 Management
Include the following coverages: E] CGL; F1 Auto; F WC; F Professional; F Property; OR No Insu nep Rpquirpti 2 Pnl
Contract pending receipt of Certificate of InsuranceEl. With incorporation of Insurance provisions as showr ,AiffcWq ifla*oR(__"
by the Risk Manager: r
Risk Manager's Signature: Date: AUG 18 2014
Financial Services By —
This Contract is conditione2d ypon appropriation by the Board of Commissioners YesE]Nom-1, A budget amendment is necessary
before approval YesE]NoLM. 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 Contrcll Act:
Financial Services Director's Signature:_044ftu-j ,#- 4 AAAl Date: 714
County Attorney
Approval by BoardEl (Contracts $90,000,* or more for goods or services, $250,000.00 or more for construction, or any BOCC
consultant contract). Approval by Xanager[N(Most other contracts$1,000 and above). Department Director approval only (Under
$1,000). This contract has been refi ved by the Attorney as to legal form and su
Attorney's Signature Date: 711�
County Manaze
This contract has been reviewed and is approved by the County Manager Y%40.
This contract has been reviewed and is for signature by the Chair YesE]NoE].
Manager's Signature: Date:
Clerk to the Board
Approved by BOCC on the day of 120 b7m ed for Chair signature on th Ay of 20
in J,
Clerk's Signature: Date: ;7
7)
Revised March 2012