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poi,i-0 8 <br /> ORANGE COUNTY—CONTRACT CONTROL SHEET <br /> Routing Order: (1)Department,(2)1T,(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 /> PartyNendor Name: Andeliene Vienna Croce Party/Vendor Contact Person: Andeliene Vienna Croce Contact Phone:856-520-2037 <br /> PartyNendor Address: 100 Crest Street Apt C City Carrboro State:NC Zip:27510 Department:DEAPR Amount:$1200.00 Purpose: <br /> Ecology -arm.rncr.- rruc or Budget Code(s):630000 Vendor ii 61079 (N/A if new vendor) Vendor r� a BOCC consultant? Yes❑No <br /> im Contract Type:(Check one)New® Renewal ❑ Amendment ❑ Effective Date June 18,2012 Approved by Board Yes❑No <br /> ® Agenda Date: Title of Contract:Ecology Camp Instructor <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 ontract has been reviewed and approved by the Department Director as to <br /> technical content: <br /> 1 " Department Director's Signature: Date: 12 i ) 2 <br /> IT Director <br /> (Applicable only to hardnvare/soJhr'are 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 0. With incorporation of Insurance provisions as shown,this contract is approved <br /> by the Risk Manager: 401 Risk Mana er's Signature: � 4--/�� )M7' Date: �'li'/1i <br /> 'e 'CC0373�/1.Z �..,/ <br /> Financial Services <br /> This Contract is condition d on 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 1100 ltpre-audited in the <br /> manner required by the Lo I Government Bud t nd Fiscal Control Act: <br /> Financial Services Director's Signature: G(^.L„c.-- JJ1 Date: I ° <br /> County Attorney <br /> Approval by Board ❑ (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 pi(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: /S �°2 <br /> County Manager <br /> This contract has been reviewed and is approved by the County Manager Y.esinNo❑. <br /> This contract has been reviewed and is for s nature by the air Yes❑Noe� <br /> Manager's Signature: Date: r,- Z---v <br /> Clerk to the B ar <br /> Approved by BOCC on the_day of ,20 . Submit f d f • Hair signature on tl —I ay of ,20 <br /> Clerk's Signature: Date: <br /> 1 <br /> ■. <br /> Revised November 2011 <br />