HomeMy WebLinkAboutR 2014-527 Finance - Communities in Schools of Orange County - Outside Agency Performance Agreement ►�} -5z7
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: Communities in Schools of Orange County Party/Vendor Contact Person: Sarah Shapard Contact Phone: 919-
967-6677 Party/Vendor Address:210 N. Columbia St. City Chapel Hill State:NC Zip: 27514 Department: Finance&Admin. Services
Amount: $102,000 Purpose: Performance Agreement Budget Code(s): 10495050-710034 Vendor#26951 (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®Non 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❑Non Bid/RFP number This contract has been reviewed and approved by the Department Director as to
technical content:
r
Department Director's Signature: G�'►�vGv ,� 1 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 roved
by the Risk Manager: O
Risk Manager's Signature: to Date: l OCT 1 0 2014
10110
Financial Services
This Contract is conditioned u on appropriation by the Board of Commissioners Yes❑No[� Abu
before approval Yes❑ No[BIf budget amendment is necessary, please attach to this form. This instrument has been pre-audited in t e
manner required by the Local Government Budget and Fiscal Control Act:
Financial Services Director's Signature: �� !�� ,- Date: t Iy
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 r vi we proved by the Attorney as to legal form and sufficiency:
Attorney's Signature Date: �► ►
County Manager
This contract has been reviewed and is approved by the County Manager s No❑.
This contract has been reviewed and is for signature by the Chair Yes No❑.
Manager's Signature: �;? Date:
ClerhA tk Bmrd
Approved by BOCC on the_day of .120 d for air signature on the ay ,20
Clerk's Signature: ate:
Revised March 2012