HomeMy WebLinkAboutR 2017-156 Health - Orange County Schools for summer K-readiness and rising 1st grade literacy enrichment programs ORANGE COUNTY—CONTRACT CONTROL SHEET 0&t) niq - I
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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 � t
Party/Vendor Name: Orange CounV Schools Party/Vendor Contact Person: Dr.Jake He Contact Phone:919-732-8126
Party/Vendor Address:200 E.King Street City Hillsborouel► State:NC Zip:27278 Department:Health Amount: $ 5 Purpose:
Provide summer K-readiness and rising I'grade literacy enrichment programming Budget Code(s): 10412020- -71453 Vendor#
178 (N/A if new vendor) Vendor is a BOCC consultant? Yes❑No® Contract Type: (Check one)New❑ enewal® �1
Amendment ❑ Effective Date 6/1/17 Approved by Board Yes❑NOD Agenda Date: Title of Co act:OCS Out of ��\�\
School Prog�g WCOOD ��
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 conten:
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 shown,this contract is approved
by the Risk Manager:
Risk Manager's Signature:
Date:
Financial Services
This Contract is conditioned upon appropriation by the Board of Commissioners Yes No
before approval Yes[—]No[:]. If budget amendment neces ,pleas ttach to this form. his instrument has been re-audited in the
manner required by the Local Government Budget Fiscal o trol A
Financial Services Director's Signature:
Date: s /
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 by Manager❑(Most other contracts$1,000 and above). Department Director approval only❑ (Under
$1,000). This contract has been reviewed and approved by the Attorney as to legal form and sufficiency:
Attorney's Signatures ,V
Date: S/1 1/i 1
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:
Approved by BOCC on the da of Clerk to the Board
Y ,2 Submitted for Chair signature on the_day of 20
Clerk's Signature: Date: 51 I a ll-I
Revised March 2012