2012-122 DEAPR - Fun2 Ref-Lynn Dunbar

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Z0(2_tZz 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: Fun 2 Ref - Lynn Dunbar Party/Vendor Contact Person: Lynn Dunbar Contact Phone: 919- 477 -3533 Party /Vendor Address: 1105 Infinity Road City Durham State: NC Zip: 27712 Department: DEAPR Amount: $6200.00 Purpose: Referee Services Budget Code(s): 10511020- 630000 Vendor # 59066 (N /A if new vendor) Vendor is a BOCC consultant? Yes ❑ No® Contract Type: (Check one) New ® Renewal ❑ Amendment ❑ Effective Date April 25 2012 Approved by Board Yes❑ No❑ Agenda Date: Title of Contract: Referee Services If this is a Grant Agreement, pre - application has been approved by the Board of Commissioners Yes El No❑. If submitted forbid 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: El IT Director (Applicable only to hardivare/sofiware 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 Directo 1 nature: Date: Risk Manngement Include the following coverages: ❑ CGL; ❑ Auto; ❑ WC; ❑ Professional; ❑ Properly; OR No Insurance Required [4: Hold Contract pending receipt of Certificate of Insurance ❑. Willi incorporation of Insurance provisions as shown, this contract is approved by the Risk Manager: Risk Manager's Signature. tz' Date: -5• Zl • l 7/ if v / C d O(yf et/ ��griafN re) Financial Services This Contract is condition d rpon 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. his instrument has been pre - audited in the manner required by the Local Government Budget and Fiscal Conlr IA L 51211j-1, Financial Services Director's Signature: Date: County Attorney Approval by Board ❑ (Contracts $90,000.00 or more for goods or services, $250,000.00 or more for construction, or any BOCC consultant contract). Approval by Mana Most other contracts $1,000 and above). Department Director approval only ❑ (Under $1,000). This contract has been reviewed and approved by the Attorney as to legal form and sufficiency: Attorney's Signature Date: County Manager_ This contract has been reviewed and is approved by th County Manager Y No❑. This contract has been reviewed and is for si iatur the Chair Yes ❑Noo� Manager's Signature: Dater / �l t- Clerk to the Board Approved by BOCC on the _ day of 120. Submitted for Chair signature on the _day of , 20_ Clerk's Signature: Revised March 2012 Date: