Exhibit_5_(b)_-_OCCR_CRP_-_Sign_Page.pdf

PDF 198 KB Posted

Attached to
Special Projects Related to Workforce Development Services
Solicitation number
012-2751004-CW
Issued by
Orange County, San Diego City, California

About this file

This document is a Reimbursement Policy Status (RPS-1) Form from Orange County Community Resources (OCCR), which establishes the documentation status for a contractor or subrecipient under the county's Contract Reimbursement Policy. The form provides a template for specifying the documentation status as either Abbreviated (default) or Comprehensive, with spaces for contract number, effective date, and requiring two signatures for implementation from Program Authorization and Auditor Controller representatives.

The form is designed to track and authorize the documentation requirements for contractors working with OC Community Resources, with a standard distribution to the Contractor, Auditor Controller, Contract File, and Program File. The form indicates that all documentation requirements remain in full force until further notice, and any change in the contractor's/subrecipient's designation will require a new status form to be approved. The form is part of OCCR's administrative process for managing contractual relationships and ensuring proper documentation and financial oversight.

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Text version

Reimbursement Policy Status (RPS-1)

Reimbursement Policy Status Form

Per OC Community Resources Contract Reimbursement Policy, in regard to the Contract # listed herein, Contractor/Subrecipient is designated with the documentation status of

Abbreviated unless Comprehensive is checked below. If the contractor’s/subrecipient’s designation should change, a new status form shall be approved. All related documentation requirements are in full force, until further notice.

Contractor: Click here to enter text. Effective Date: Click here to enter text.

Contract #: Click here to enter text.

Documentation Status: ☐ Comprehensive

Program Authorization by: Auditor Controller Authorization by:

Click here to enter text. Click here to enter text.

Print Name Print Name

Signed by: Signed by:

Date: Click here to enter text. Date: Click here to enter text.

Two signatures are required to implement the form.

Distribution:

Contractor

Auditor Controller

Contract File

Program File

File details come from the government source that posted it. Updated .