HomeMy WebLinkAboutR 2010-098 Aging - Town of Chapel Hill RSVP program ORANGE COUNTY—CONTRACT CONTROL SHEET 60
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: Town of Chapel Hill Party/Vendor Contact Person: Jackie Thompson Contact Phone: 919-968-2760
Party/Vendor Address: 828 Martin Luther King Jr Blvd City Chapel Hill State:NC Zip: 27514 Department: Aging Amount '300
Purpose: Retired and Senior Volunteer Program Budget Code(s): 10434005-448910 Vendor#64 (N/A if new vendor) Ven a
BOCC consultant? Yes ❑No® Contract Type: (Check one)New❑ Renewal® Amendment ❑ Effective Date 07/01/10
Approved by Board Yes®No❑ Agenda Date: included in FYI budget Title of Contract: Town of Chapel Hill 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 contract has been reviewed and approved by the Department Director as to
technical content:
Department Director's Signature: G��ul� 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; [ErOR No Insurance Required ❑. Hold
Contract pending receipt of Certificate of Insurance F. With incorporation of Insurance provisions as shown, this contract is approved
by the Risk Manager:
Risk Manager's Signature: Date: S (3 /e-)
foe W �//Ifiv 3wiz Financial Services
This Contract is conditioned pon appropriation by the Board of Commissioners Yes❑Noi 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: �(
Signature:Director's Si �aj. YAAA, Date: v !v
Financial Services i g
County Attorney
Approval by Board ❑ (Contracts ver $90,000.00 for goods or services, $250,000.00 for construction, or any BOCC consultant
contract). Approval by Manager (Alt other contracts). This contract has been reviewed and approved by the Attorney as to legal
form and sufficiency: G�
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 to be submitted for BOCC onsidea on Yes❑
Manager's Signature: Date: l(9 ILL)—
Cle k Vto the Boar
Approved by BOCC on the day of ,20 Submitted air signature on the day of ,20
Clerk's Signature: Date:
Revised April 2010
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