HomeMy WebLinkAboutR 2014-468 S Finance - Orange County Partnership for Young Children - Outside Agency Performance Agreement -4--
ORANGE CONTROL SHEET
Routing Order: (l)Department, (2)D,(3)Risk Management,(4)Financial Services, (5)Attorney, (6)Manu&cr,(7)Clerk
This Document shall accompany all contracts and shall be submitted for signature in the Routing Order specified above. lf 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
br completed through the legal review process prior to being routed for signature.
Department
Party/Veodo/Name: Orange Coupty Partnership for Young Children Party/Vendor Contact Person: Robin Pulver Contact Phone: 919-
967-9091 Party/Veudor}\ddromm: 120 Providence Rd., Suite 10 1 CityClgpeUHill State:NQ Zip:27514 Department:Finance&
Admin. Services Amount: $2,000 Purpose:Performance Agreeme Budget Code(s): 10495050-719050 Vendor#N/A (N/A if new
vendor) Vendor isu8OCC consultant? n Contract Type: (Check one)New [l Renewal Z Amendment [] Effective
Date 7/1C014 Approved 6yBoard YoxZ NoFl Agenda Date:6/1[7{2014 Title ofContract:2014-15 Outside Agency Performance
Agreei�ent
|f this iou Grant Agreement,pre-application has been approved hy the Board of Commissioners YcoElYJnE]. lf submitted for bid were
hida/R[Pa received`/oo[lNoF� Bid/RFP number This contract has been reviewed and approved by the Department Director as to
technical content:
Department Director's Signature: J. Date: q
�
IT Director
(Applicable only to hardwarelsoftware purchases or related services)This contract has been reviewed and approved by the Information
Technology Director uuto technical content and information technology mpecifioa1ioum:
IT Director's Signature: Date:
Risk Management
Include the following coverages: El CGL 0 Auto; F-1 VC; 0 Professional; F� Property; OR No Insurance Required El. Hold
Contract pending receipt of Certificate of Insurance E]. With incorporation of Insurance provisions,ar,1011 IT , ved
by the Risk Manager:
Risk Manager's Signature:
Liu r
This Contract is conditione Financial Services 413y
4_0on appropriation by the Board of Commissioners YesE:]No2( V sary
before approval YesE] Noy. If budget amendment is necessary,please attach to this form. This instrument has been pre-audited in the
manner required 6y the Local Government Budget and Fiscal C |
Financial Services Director's Signature: 6(,4� h4,.4— Date: q1q1tv
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 Manager P(Most other contracts$1,000 and above). Department Director approval only 0 (Under
$1,000). Thiscontractha,jeen viewed and approved by the Attorney as to legal form and sufficiency:
Attorney's Signature Date:
NI County Manage- /El
This contract has been reviewed and is approved by the County Manager Yesj�jNoE
This contract has been reviewed and is for signature by the Chair YesONoEl
Manager's Signature: Date:
Clerk to thS%A-
Approved by BOCC on the day of _1� A ,20 Sub/Ved fbr Chair signature on the day of 20_.
Clerk's Signature: Date:--Z
Revised March 2012
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