2012-033 Aging & Sandra Smith $1,000

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ORANGE COUNTY - CONTRACT CONTROL SHEET_. Routing Order: T Department, IT, (3) Risk Management, Financial Services Attorney, 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 B CC approval. Contracts for B CC 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 rooted for signature, Department Party Vendor Marne: Sandra L Smith Party Vendor Contact Person: same Contact Phone: Party Vendor Address: 114 Cha hir Drive City Hi11sborough State: NC Zip: 27278 Department.- Aging Amount: 1,000.00 Purpose: Sewing Class Instructor Budget Code(s)- 10430120-629000 endor # 61120 (N/A if new v n} o Vendor is a BOCC consultant? Yes No o tract Type: (Check ore) New ® Renewal ❑ Amendment ❑ Effective Date march 8, 2012 Approved by Board Yes[:] Igo ❑ Agenda Date: Title of Contract: Senior Center Instructor If this is a Grant Agreement, pre - application has been approved by the Board of Commissioners Yes❑ No ❑. If submitted for bid were id I FPs received Yes❑ No❑ Bid I FP number This contract has been reviewed and approved by the Department Director as to technical content: DppP 41 tinb Director's Signature: . Date: � ff IT Director (Applicable on ly to hardwarelsqfNwre purchases or related services) This contract has been reviewed and approved by the In formation Technology Director as to technical content and information technology specifications: IT Director's Signature. Date: Risk Haan ement Include the following coverages: El C L; ❑ Auto; ❑ WC; El Professional; El Property; BOIL No Insurance Required ], T -Told Contract pending receipt of Certificate of Insurance ❑. with incorporation of Insurance provisions as shown, this contract is approved by the Risk Manager: Risk Manager's Signature: Date: IS 3e Financial Services This Contract is conditions upon appropriation by the Board of Commissioners Yes ❑I o A budget amendment is necessary before approval Yes❑ No . If budget a� endinent is necessary., please attach to this form. Thi instrument has been pre- audited in the manner required y the oc Government Budget and Fiscal Control Act: Financial Services Director's Signature: Date: Cpty Attorney Approval by Board ❑ (Contracts over $90,000.00 for goods or services, $250,000.00 for construction, or any B CC consu tart contract). Approval by Manager F7 (All other contracts). This contract has been reviewed and approved by the Attorney as to legal f r ni and sufficiency: Attorney's Signature Date: County Manager w This contract has been reviewed and is approved by the County Manager Y0-mon. This contract has been reviewed and is to be s it c for 16C consideration Yes❑No 61 �: Manager's Signature: ��. Date: 'Clerk to the Board Approved by B CC on the day of Clerk's Signature: Revised April 2010 Submitted for Chair signature on the day of , 20 Date: