HomeMy WebLinkAboutR 2014-437 Finance - Voices Together - Outside Agency Performance Agreement ORANGE CONTROL SHEET
Routing Order: (l)Department, (2)IT,(3)Risk Management,(4)FbounubJ 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 im not appropriate for Manager approval the Manager shall submit the contract for 80CCapproval. Contracts for
BOCC approval must be submitted through,and complete,the routing process prior to agenda review. Contracts for legal review should �
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be completed through the legal review process prior to being routed for signature.
Department
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PartyfVcndorNume: Voices Together Party/Vendor Contact Person: Yasmine White Contact 9bnnc: 919442-2714 Party/Vendor
Address:
Purpose:Performance Agreement Budget Code(s): 10494950-719066 Vendor#62051 (N/A if new vendor) Vendor is a BOCC
consultant? Yes F�NoZ Contract Type: (Check one)New F1 Renewal Z Amendment F-1 Effective Date 7/1/2014 Approved by
Board YesZ NoM Agenda Date: 6/17/2014 Title of Contract:2014-15 Outside Agency Performance Ajueemen
If this is a Grant Agreement,pre-application has been approved by the Board of Commissioners YesE]Noo. If submitted for bid were
bids/RFPs received YesF1 NoM Bid/RFP number This contract has been reviewed and approved by the Department Director as to
technical content:
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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: El CGL; M Auto; M WC; 0 Professional; M Property; OR No Insurance Required Hold
Contract pending receipt of Certificate of Insurance M. With incorporation of Insurance provisions as shoi r .1,;- --act
by the Risk Manager: V
Risk Manager's Signature: Date:
Financial Services
This Contract is conditioneVon appropriation by the Board of Commissioners YesMNoE9/ A
before approval YesM No . If budget amendment is necessary,please attach to this form, This instrument has been pre-audited in the
manner required by the Local Government BudZeppnd Fiscal Con
I (.,- "07
Financial Services Director's Signature: Date:
County Attorney
Approval by Board E] (Contracts $901000.00y
,,,or more for goods or services, $250,000.00 or more for construction, or any BOCC
consultant contract). Approval by Ma a r L4�Most other contracts$1,000 and above). Department Director approval only (Under
$1,000). This contract has been revie ed d approved by the Attorney as to legal form and suffic* ncy:
Attorney's Signature Date:
County Manage
This contract has been reviewed and is approved by the County Manager Ye&/Noo.
This contract has been reviewed and is f6rs4griature by the Chair YesMNoM.
Manager's Signature: Clerk to the l?0ard Date:
Approved by BOCC on the__,,day of 20—. Submitt gnature on the dy of
Clerk's Signature: Date:
Revised March 2012