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01,00 ' ORANGE COUNTY—CONTRACT CONTROL SHEET <br /> Routing Order: (1)Department,(2)IT,(3)Risk Management,(4)Financial Services,(5)Attorney,(6)Manager,(7)Clerk <br /> This Document shall accompany all contracts and shall be submitted for signature in 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 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 routed for signature. <br /> Department <br /> Party/Vendor Name: Joyce Gornto PartyNendor Contact Person: Contact Phone: PartyNendor Address: 3431 Pickett Rd <br /> City Durham State:NC Zip: 27705 Department: Aging-CBS Amount: $500.00 Purpose: Chair Yoga Budget Code(s): 29430320- <br /> 630000 Vendor#61228 (N/A if new vendor) Vendor is a BOCC consultant? Yes 0 No0 Contract Type: (Check one)New Eg <br /> Renewal 0 Amendment El Effective Date April 30,2012 Approved by Board Yes0 No Agenda Date: Title of <br /> Contract: <br /> If this is a Grant Agreement,pre-application has been approved by the Board of Commissioners Yes0 No0. If submitted for bid were <br /> bids/RFPs received Yes0 No0 Bid/RFP number This contract has been reviewed and approved by the Depai twent Director as to <br /> technical content: <br /> Department Director's Signature: aatAe-e-ez J. 4,6,._ Date: 3-.2 9 Aed <br /> IT Director <br /> (Applicable only to hardware/software purchases or related services)This contract has been reviewed and approved by the Information <br /> Technology Director as to technical content and information technology specifications: <br /> IT Director's Signature: Date: <br /> Risk Management <br /> Include the following coverages: 0 CGL; 0 Auto; 0 WC; 0 Professional; 0 Property; OR No Insurance Required re: Hold <br /> Contract pending receipt of Certificate of Insurance Ei. With incorporation of Insurance provisions as shown, this contract is approved <br /> by the Risk Manager: <br /> Risk Manager's Signature: WM e--44-• dr if Date: 5 2J?'I 7--* <br /> X e 'et .3/zikji,2 iliilipvtajci <br /> Financial Services <br /> This Contract is condition pon appropriation by the Board of Commissioners Yes:No . A budget amendment is necessary <br /> before approval Yes0 No LX. If budget amendment is necessary,please attach to this form. s instrument has been pre-audited in the <br /> manner required by the Local.Government Budget nd Fiscal Contr 1 Act: <br /> Financial Services Director's Signature: a/-4,-4"--- , Date: <br /> County Attorney <br /> Approval by Board 0 (Contracts $90,000.00 or more for goods or services, $250,000.00 or more for construction, or any BOCC <br /> consultant contract). Approval by Manager*(Most other contracts$1,000 and above). Department Director approval only, (Under <br /> $1,000). This contract has been reviewed and approved by the Attorney as to legal form and sufficiency: <br /> -', <br /> ,. .1 <br /> Attorney's Signature ----77 <br /> Date: <br /> 74-43 <br /> County Manager <br /> This contract has been reviewed and is approved by the County Manager Yes0 No0. <br /> This contract has been reviewed and is for signature by the Chair Yes0Nora <br /> Manager's Signature: Date: <br /> -' <br /> ,,- <br /> Citric-to the Board <br /> Approved by BOCC on the day of ,2 . ' b tted for Chair signature on the day of ,20 . <br /> 7-■.......■ <br /> Clerk's Signature: 40 Date: i <br /> Revised March 2012 <br />