HomeMy WebLinkAboutR 2010-081 Co Manager - KidScopeel Centro Hispano outside agency agreement 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: El Centro Hispano Party/Vendor Contact Person: Pilar Rocha-Goldberg Contact Phone: 919-687-4635
Party/Vendor Address: 201 W. Main St. City Durham State:NC Zip: Department: Outside Agency Amount: $15,000 Purpose:
Budget Code(s): 10495050 Vendor#N/A (N/A if new vendor) Vendor is a BOCC consultant? Yes ❑No® Contract Type:
(Check one)New ❑ Renewal ® Amendment ❑ Effective Date July 1,2010 Approved by Board Yes®No❑ Agenda Date:
June 15,2010 Title of Contract: 2010-11 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❑No❑ Bid/RFP number This c tract has been reviewed and approved by the Department Director as to
technical content:
Department Director's Signature: Date:
- T 7,10
IT irector
(Applicable only to hardware/software purchases or related se ices)This contract has been reviewed and approved by the Information
Technology Director as to technical content and information to ogy specifications:
IT Director's Signature: Date:
Risk Management
Include the following coverages: [2'CGL; []'Auto; �j WC;,❑"Professional; ❑ Property; ❑ OR No Insurance Required ❑. Hold
Contract pending receipt of Certificate of Insurance E. With incorporation of Insurance provisions as shown,this contract is approved
by the Risk Manager:
Risk Manager's Signature: V Date: &//r116
act'd S�/`I/o
Financial Services
This Contract is conditioned pon appropriation by the Board of Commissioners Yes❑No A budget amendment is necessary
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 Control Act:
Financial Services Director's Signature: a"-,� A ��y Date:
County Attorney
Approval by Board (Contracts over $90,000.00 for goods or services, $250,000.00 for construction, or any BOCC consultant
contract). Approval by Ma er All other contracts). This contract has been reviewed and approved by the Attorney as to legal
form and sufficiency:
Attorney's Signature Date: 1 2fa10
County Manager
This contract has been reviewed and is approved by the County Manager Yesp No❑.
This contract has been reviewed and is to be submitted for BOC con rd rat' n YeCl'No❑.
Manager's Signature: Date:
Cleric to Le Board
Approved by BOCC on the of ,20 Submitted for Chair signature on the ay of ,20
Clerk's Signature: Date: d v
Revised April 2010