HomeMy WebLinkAboutR 2015-355 Health - Chapel Hill-Carboro City Schools - Contract renewal for nursing services 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: Chapel Hill Carrboro City Schools Party/Vendor Contact Person: Ruby Pittman Contact Phone:919-967-8211
x28205 Party/Vendor Address: 750 S.Merritt Mill Rd. City Chapel Hill State:NC Zip: 27516 Department:Health Amount: $465,300
Purpose:Fuinds for school nurses Budget Code(s): 10495020-631100 Vendor#22226 (N/A if new vendor) Vendor is a BOCC
consultant? Yes❑No® Contract Type:(Check one)New❑ Renewal® Amendment ❑ Effective Date 7/1/15 Approved by
Board Yes®No❑ Agenda Date:June 16,2015 Title of Contract:Chapel Hill Carrboro City Schools School Nursing;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: Z, ` Date:
I irector
(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 has sh
by the Risk Manager: D 0
Risk Manager's Signature: Date: l3' JUL 2 8 2015
UU L-1
Financial Services
This Contract is conditioned upon appropriation by the Board of Commissioners Yes❑No❑. A b
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 Bud nd Fiscal Control Act:
Financial Services Director's Signature: W-i Date: ZO /�
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 c�6tract). Approval by Manager M(Most other contracts$1,000 and above). Department Director approval only❑ (Under
$1,000). This contract has e n vie d pproved by the Attorney as to legal form and sufficie cy:
Attorney's Signature Date:
County Manager
This contract has been reviewed and is approved by the County Manager Yes❑No❑.
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 120 Submitted for Chair signature on the_day of ,20
Clerk's Signature: Date:
Revised March 2012