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r <br />ORANGE COUSTT C I TRACT C N TR. L SHEET #: � <br />Routing Order: 1 Department, 2 IT, Risk Management, Financial Services, Attorney, Manager, Clerk <br />This Document shall accompany all contracts and shall be submitted for signature ill the Routing Order specified above. If the Manager <br />determines the contract is not appropriate for Manager approval the Manager shall submit the contract for B CC approval. Contracts for <br />B CC 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 routed for signature. <br />Department <br />Part f Vendor Name: Celestine c.. - - Party/Vendor Contact Person: s Contact Phone: PartyNendor Address: 1 002 Statler <br />Drive City Durham State: NC Zip: 27703 Department: Aging Amount: $1,000.00 Purpose: barber service at Seymour Center <br />Budget Code (s): 10430120 - 629000 Vendor # N/A (N/A if new vendor) Vendor is a B CC consult n_t Yes ❑ - -N _ ntract <br />Type: (Check one) New Z Renewal [:1 Amendment ❑ Effective Date 03/09/12 Approved by Board Yes❑ NoE Agenda Date: <br />Title of Contract: Senior Center Instructor S <br />If this is a Grant Agreement, pre -- application has been approved by the Board of Commissioners Yes❑ No[]. If submitted for bid were <br />bids/R-FPs received Yes❑ N ❑ id RFP number This contract has been reviewed and approved by the Department Director as to <br />technical content: <br />Department Director's Signature: Date: 3'J' Z <br />IT Director <br />(Applicable only to hardivarelsoftware purchases or i- lai c i -vices) This contract has been reviewed and approved by the Information <br />Technology Director as to technical content and information tecbnology specifications: <br />IT Director's Signature. <br />Date: <br />Kish Management <br />Include the following coverages: [:1 GL; [:1 Auto; ❑ WC; ❑ Professional; ❑ Property; � I No Insurance Required ❑. Hold <br />Contract pending receipt of Certificate of I urance ❑. With incorporation of insurance provisions as shown, this contract is approved <br />by the Risk Manager: <br />Risk Manager's Signature: 40-M6 Llt' Date: _ 0''Ttz--. <br />Financial Services <br />This Contract is condition up n appropriation by the Board of Commissioners Yes❑No . A budget amendment is necessary <br />before approval Yes❑ Na GIf budget amendment is accessary, please attach to this form. This instrument has been pre - audited ire the <br />manner required b the Lora overnment Budget and Fiscal Control Act: <br />Financial Services Director's Signature: 6(L4n_ CAJ Ao Date: 31 Irz,_ <br />County Attorney <br />Approval by Board El (Contracts over $90,000.00 for goods or services, $250,000.00 for construction, or any B CC consultant <br />contract). Approval by Manager All dither contracts). This contract has been reviewed and approved by the Attorney as to legal <br />form and sufficiency: <br />Attorney's Signature Date: <br />County Manner, <br />This contract has been reviewed and is approved by the Counter Manager Yes N❑. <br />This contract has been reviewed and is to be submitted for BOCC consideration Yes ❑No [2. <br />F <br />1 <br />Manager's is Signature: }# Date- <br />Clerk to the o id <br />Approved by BOCC on the day of 1,20 S b itted for Chair signature o the day of _ - - - - -_ � 20 <br />3fClerk's Signature: Date: <br />V I ' <br />Reprised April 2010 <br />