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r r <br />1 ANN COUNTS CO T ACT CONTROL SHEET <br />Routing Order: i Department, 2 IT, Risk Management, Financial Services, Attorney, Manager, Clerk <br />This Document shall accompany all contracts and shall be submitted for signature in the Routing Order specified above. If the Manager <br />detern -lines the contract is not appropriate for Manager approval the Manager shall submit the contract for BOCC approval. Contracts for <br />BOCC approval must be submitted through, and complete, the routing process prior to agenda review. Contracts for legal review should <br />be completed through the legal review process prior to being muted for signature. <br />Department <br />Marty /Vendor Name: Janes Moulton part /Vendor Contact Person: Jaynes Moulton Contact Phone: Party /Vendor Address: <br />City State: Zip: Department: D APR mount: N/A purpose: Little i n l Park Caretaker <br />Appointment Budget Code(s): Vendor ## N/A (N/A i new vendor) Vendor is a B C consultant`? Yes No Contract <br />Type: (Cheek one) New M Renewal ❑ Anicndm nt El Effective Date March 3, 2012 Approved by Board Yes[] NoZ Agenda <br />Date: Title of Contract: Little River Regional Park & Natural Area Resident Caretaker Agreement <br />If this is a Grant Agreement, pre-application has been approved by the Board of ConuTd sinners Yes❑ NoD. If submitted for bid were <br />bids RF"Ps received Yes❑ Igo❑ Bid P FP number This contTaet has been reviewed and approved by the Department Director as to <br />tecluiii content: <br />Department Director's Signature: Date: <br />IT Director <br />lr tr l my to hart #wrii• so i-v r# ur•ehe -r ,s r rel(d d services) This contract has been reviewed and approved b the Information <br />Teel io Dir for as to teclniic i content and information tecluiology specifications: <br />IT Direct Is Sig Lure: Date: <br />Risk l Mana cinent <br />Include the following coverages: � L; ❑ Auto; El W ; El Professional; Property; Off. No Insurance-Required <br />❑ . Hold <br />Contract Pending receipt of Certificate of Insurance ith incorporation of Insura.n e provisions as shown, this contract i proofed <br />b t�7e Risk hanger: � ��`v� �€�% � �!�O..`�. �'1 11 M �� � >444tf 04t t� (>W dAd��� <br />Risk lana ger's Sign attire: ow i-, A, W Date: Z I * � <br />a 0 <br />Financial Services <br />This Contract is conditioned upon appropriation by the Board of Conmiissioners Yes❑ No budget amendment is necessary <br />before approval Yes❑ N If budget amendment i necessary, Tease attach to this form. fm's instrument has been pre - audited in the <br />manner required by the Loca Govemment Budget and Fiscal Control Act: <br />Financial Services Director's Signature: Date: � `� <br />Count)? Attorney <br />Approval by Board ❑ (Contracts $90,000.00 or more for goods or services, $250,000.00 or more for construction or any B CC <br />consultant contract). Approval by Manager 21 (All other contracts). This contract has been reviewed and approved by the Attorney as <br />to legal form and sufficiency: <br />Attorney's Signature Date: <br />County Man er <br />This contract has been reviewed and is approved by the County Manager Yoes No . <br />This contract has been reviewed and is for signature by the bai • es❑No l <br />r <br />Manager's Signature: Date: <br />6erk to the Board <br />rove on the -- day m of Submitted for Chair signature on the day of _ - , Zo�. <br />lr•Wirtur•c: Date: �- <br />Revised November 2011 <br />