HomeMy WebLinkAboutR 2014-460 Health - Piedmont Health Services - Memorandum of Agreement for certification of WIC clients at OCHD e4— J4(o(3
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
PartyNendor Name: Piedmont Health Services Party/Vendor Contact Person: Brian Toomey Contact Phone: 919-933-8494
Party/Vendor Address:229 Lloyd Street City Carrboro State:NC Zip:27510 Department: Public Health Amount:N/A Purpose: PHS
and OCHD agree for certification of WIC clients at OCHD Budget Code(s):N/A Vendor#27898 (N/A if new vendor) Vendor is a
BOCC consultant? Yes ❑No® Contract Type: (Check one)New❑ Renewal® Amendment ❑ Effective Date July 1,2014
Approved by Board Yes❑No❑ Agenda Date: Title of Contract: Piedmont Health Services WIC Program and Oran
County Health Department For WIC Program Services
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 show ,
by the Risk Manager: D Mq TY
Risk Manager's Signature: Date: 1616LI1§4 AUG 2 0 2014
8i Zl
Financial Services y
This Contract is conditioned on appropriation by the Board of Commissioners Yes❑No� A bud
before approval Yes❑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 Budget and Fiscal Con of Act-.
Financial Services Director's Signature: G�'K �/' �` Date: �b
101111
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 bK Manager W(Most other contracts$1,000 and above). Department Director approval only (Under
$1,000). This contract has been ke iewed and approved by the Attorney as to legal form and sufficiency:
Attorney's Signature Date: ! 1:5-) 14
County Manager
This contract has been reviewed and is approved by the County Manager Yes❑Nor-1.
This contract has been reviewed and is for signature by the Chair Yes❑No❑.
Manager's Signature: Date:
Clerk to the Board
Approved by BOCC on the_day of ,20 . Submitted for Chair signature on the _day of ,20
Clerk's Signature: Date:
Revised March 2012