Exhibit_5_(b)_-_OCCR_CRP_-_Sign_Page.pdf
PDF 198 KB Posted
- 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 .