2012-120 DEAPR - Jump Start Sports for Athletics Instruction

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1�(Z i /rl0 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: Jump Start Sports Party/Vendor Contact Person: Amanda Martin Contact Phone: (440) 479 -0208 Party/Vendor Address: 7444 Woodspring Lane City Hudson State: OH Zip: 44236 Department: DEAPR Amount: $22 10.00 Purpose: Athletics Instruction Budget Code(s): 10511020 630000 Vendor # (N /A if new vendor) Vendor is a BOCC consultant? Yes ❑ No® Contract Type: (Check one) New ® Renewal ❑ Amendment ❑ Effective Date April 15, 2012 Approved by Board Yes❑ No® Agenda Date: Title of Contract: Athletics Instruction 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: Date: 0(142 IT Director (Applicable only to hardware/software purchases or related services) This contract has been reviewed and approved by the Information TeHthe for as to technical content and information technology specifications: IT nature: Date: _ Risk Management Inc wing coverages: ❑ COL; ❑ Auto ; ❑ WC; ❑ Professional; ❑ Property; OR No Insurance Required [D, Hold Contract pending receipt of Certificate of Insurance ❑. With incorporation of Insurance provisions as shown, this contract is approved by the Risk Manager: Risk anager's Signature: Date: jq Financial Services This Contract is condition d upon appropriation by the Board of Commissioners Yes ❑No A budget amendment is necessary before approval Ye s❑ No . If budget amendment is necessary, please attach to this form. Xis instrument has been pre - audited in the manner required by the Loca If Budget and Fiscal fC�'�ontrol Act: Financial Services Director's Signature: V,0, U / ✓' J41A, Date: 5(2% j2 Jl County Attorney Approval by Board ❑ (Contracts $90,000.00 r more for goods or services, $250,000.00 or more for construction, or any BOCC consultant contract). Approval by Managerost other contracts $1,000 and above). Department Director approval only ❑ (Under $1,000). This contract has bee rev' we approve the Attorney as to legal form and sufficiency: Attorney's Signature Date: County Manager This contract has been reviewed and is approved by the County Manager Yer o❑. This contract has been reviewed and is for signatur y the Cha' Yes❑Nq� Manager's Signature: Date: Cleric to the Board Approved by BOCC on the _ day of , 20 . Submitted for Chair signature on the _ day of , 20 Clerk's Signature: Revised March 2012 Date: