HomeMy WebLinkAboutR 2010-004 Aging - Nantucket Cafe Inc. for catering senior lunches ov q
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: Nantucket Cafe, Inc. Party/Vendor Contact Person: Jerry Sullivan. Contact Phone: 919-402-0077. Party/Vendor
Address: 5925 Farrington Rd. City Chapel Hill. State: NC Zip: 27517 Department: Aging Amount:
$92,500 Purpose: Senior Lunch Program meals Budget Code(s): 104301 Vendor#40866 (N/A if new vendor) Vendor is a BOCC
consultant? Yes ❑No® Contract Type: (Check one)New® Renewal❑ Amendment ❑ Effective Date 11/01/09.
If this is a Grant Agreement,pre-application has been approved by the Board of Commissioners Yes No . If submitted forbid
were bids/RFPs received Yes®No❑. Bid/RFP number 5155This contract has been reviewed and approved by the Department Director
as to technical content:
t'
Department Director's Signature: �'l�� Date: I — o
IT Director
(Applicable only to hardtivare/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 El. 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❑No5?] A budget amendment is necessary
before approval Yes❑No[O. 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 Control Act:
Financial Services Director's Signature: Uusw Date:
County Attorney
Approval by Board (Contracts over $25,000.00 or any BOCC consultant contract). Approval by Manager ❑ (All contracts
$25,000.00 or less with t e e cepti of BOCC consultants). This contract has been reviewed and approved by the Attorney as to legal
form and sufficiency:
Attorney's Signature Date: (1)(Cil
County ManaLer
This contract has been reviewed and is approved by the County Manager Yes❑No❑.
This contract has been reviewed and is to be submitted for BOCC consideration Yes❑No❑.
Manager's Signature: Date:
Cleirk,to the Board
Approved by Board YesENo❑ PAa e:
f /
Clerk's Signature: Date:l �L/