Orange County NC Website
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/Veudor Name: Elena Marinina PartyNendor Contact Person: Elena Marinina Contact Phone:919-943-6451 Party/Vendor <br /> Address:3213 Annandale Road City Durham State:NC Zip:27705 Department:DEAPR Amount:$1200.00 Purpose:Piano and <br /> Choral Camp Instruction Budget Code(s):630000 Vendor#61078 (N/A if new vendor) Vendor is a BOCC consultant? Yes❑No <br /> Contract pe:(Check one)New® Renewal❑ Amendment ❑ Effective Date June 1 1,2012 Approved by Board Yes❑No <br /> ® Agenda Date: Title of Contract:Music Camps Instruction <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/RFPs received Yes❑No❑ Bid/RFP number This contract has been reviewed and approved by the Department Director as to <br /> technical content: t6tP Department Director's Signature: Date: 31211 h 2 <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: ❑ CGL; ❑ Auto; ❑ WC; ❑ Professional; ❑ Property; OR No Insurance Required [{Hold <br /> Contract pending receipt of Certificate of Insurance D. With incorporation of Insurance provisions as shown, this contract is approved <br /> by the Risk Manager: v� <br /> Risk Manager's Signature:�� l/n 'u Date: -L')_/ <br /> (Zr( (01-- -3/3...//?-- <br /> Financial Services <br /> This Contract is condition d upon appropriation by the Board of Commissioners Yes❑No . A budget amendment is necessary <br /> before approval Yes❑No . If budget amendment is necessary, please attach to this form. •s instrument has been pre-audited in the <br /> manner required by the Lo Government Bud nd Fiscal ur ContJ ct:� <br /> Financial Services Director's Signature: Date: i if Z <br /> Countv 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 12 (All other contracts). This contract has been reviewed and approved by the Attorney as <br /> to legal form and sufficiency: <br /> Attorney's Signature h Date: it/Slf; <br /> County Manager <br /> This contract has been reviewed and is approved by the County Manager Ye_041o0. <br /> This contract has been reviewed and is for signature by the hair Yes❑Noe' <br /> �) ,r/ <br /> / / Date: L1 ` 7 /�i <br /> Manager's Signature: <br /> I rk to the Board <br /> Approved by BOCC on the day of ,2Q . S bmitted for Chair signature on the day ur off" ,20 , <br /> V Y <br /> Clerk's Signature: Date: <br /> Revised November 2011 ! , <br />