HomeMy WebLinkAboutR 2014-447 Finance - Orange Congregations in Mission - 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 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: Orange Congregations in Mission Party/Vendor Contact Person: Sharon S.Freeland Contact Phone: 919-732-
6194 Party/Vendor Address: 300 Millstone Dr. City Hillsborough State:NC Zip:27278 Department:Finance&Admin. Services
Amount: $41,000 Purpose:Performance Agreement Budget Code(s): 10495050-710031 Vendor# 800010 (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: Date:
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:
Risk Management
Include the following coverages: ❑ CGL; ❑ Auto; ❑ WC; ❑ Professional; ❑ Property; OR No Insurance Required ❑. Hold
Contract pending receipt of Certificate of Insurance ❑. With incorporation of Insurance provisions as sho Meenpre-a pproved
by the Risk Manager: R Risk Manager's Signature: Date: / ? 14 Finan cial Services
This Contract is conditioned u on appropriation by the Board of Commissioners Yes❑No� Abu ecessa
before approval Yes❑ No�f budget amendment is necessary, please attach to this form. This instrume
manner required by the Local Government Budget and Fiscal Control Act: p�
Financial Services Director's Signature: ,--I Date: !i
81 i;�
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 b anager (Most other contracts$1,000 and above). Department Director approval only ❑ (Under
$1,000). This contract has been e i wed and approved by the Attorney as to legal form and sufficciie cy:
Attorney's Signature Date: O Z�
County Manager
This contract has been reviewed and is approved by the County Manager Yes No❑.
This contract has been reviewed and i r si ture by the Chair Yes❑No❑.
Manager's Signature: Date: �� 1
Clerk to the Board
Approved by BOCC on the day of 20 S d for Chair signature on th day of 20
Clerk's Signature: Date:
Revised March 2012