HomeMy WebLinkAboutR 2014-445 Finance - Club Nova Community, Inc. - Outside Agency Performance Agreement 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 bc submitted for signature in the Routing Order upouifiudabove. If the Manager
determines the contract is not appropriate for Manager approval the Manager shall submit the contract for B0CCuypo»vmi Contracts for
8OCC approval must be submitted through,and complete,the routing process prior to agenda review. Contracts for\cgo|review should
be completed through the legal review process prior to being routed for signature.
Department
Pucty/VeudorNume: Club Nova Community, Inc. Party/Vendor Contact Person: Karen Dunn Contact Phone:Alg-968-6682
� Purty/Vondurf\ddroam: 103 D West Main St. City{ ayZbo[o State:NC Zip:275 10 Department: Amount:
$75,000 P Vendor is u
BOCC consultant? YesE]NoN Contract Type: (Check one)New F� Renewal N Amendment Fj Effective Date 7/1/2014
Approved by Board YesN NoF_1 Agenda Date: 6/17/2014 Title of Contract:2014-15 Outside Agency Performance Agreement
u this mu Grant Agreement, pre-application has been approved ny the Board oz Commissioners xeuLJNoL1 o submitted for bid were
bidu&lFPu received YcxMNnF_1 Bid/8F9 number This contract has been reviewed and approved by the Department Director uuto
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 asto technical content and information technology mpccifioohuuo:
IT Director's Signature: Date:
Risk Management
^^^'""~ the '~^~w^e ~~`~^~a^~ [I ~~L �1 Auto; F ``~ Fj ^^~~~~'~'~' F Property; OR No Insu Rol �
Contract pending receipt of Certificate of Insurance E]. With incorporation of Insurance provisions as showi E=,c@r*�aTrA'V.
by the Risk Manager:
AUG 19 2014
Risk Manager's Signature: a,,., Date: -24,0?_
e I F1 Financial Services I By
This Contract is conditioned Vpon appropriation by the Board of Commissioners YesE]NoT( A budget amendment is necessary
before approval YesEj NoEV. 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:
/4"" y A,.� 7,1114
Financial Services Director's Signature: Date: ej
SIZO
County Attorney
Approval by Board F-1 (Contracts $90,000.00 or more for goods or services, $250,000.00 or more for construction, or any BOCC
consultant contract). Approval by Man ge (Most other contracts$1,000 and above). Department Director approval only F-1(Under
$1,000). This contract has been review d approved by the Attorney as to legal form and suffic'ency-
Attorney's Signature Date: 2-1
County Manner
This contract has been reviewed and is approved by the County Manager Yes2/Noo,
This contract has been reviewed and is fw signature by the Chair YesE]NoF-l.
;�L'o � Itf
Manager's Signature: Date:
Clerk to the Board
Approved by BOCC on the day of 120 Submitted for Chair signature on the day of 1 20_.
Clerk's Signature: Date:
Revised March 2012