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?°(c,—/0 /' 'L" /'3 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: Wellness Class Instructors Party/Vendor Contact Person: see attached Contact Phone: Party/Vendor <br /> Address: City . State: Zip: Department: Aging Amount: $10,500.00 Purpose: Wellness classes Budget <br /> Code(s): 29430320-630000 Vendor# (N/A if new vendor) Vendor is a BOCC consultant? Yes❑No Contract Type: <br /> (Check one)New❑ Renewal® Amendment ❑ Effective Date 07/01/2012 Approved by Board Yes❑No Agenda Date: <br /> Title of Contract:Wellness <br /> If this is a Grant Agreement,pre-application has been approved by the Board of Commissioners Yes❑Non. If submitted for bid were <br /> bids/RFPs received Yes❑Non Bid/RFP number This contract has been reviewed and approved by the Department Director as to <br /> technical content: <br /> Department Director's Signature: b Lll_. Date: 4,-A.z-./..?„ <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 E' Hold <br /> Contract pending receipt of Certificate of Insurance ❑. With incorporation of Insurance provisions as shown, this contract is approved <br /> by the Risk Manager: <br /> Risk ana er's Signature: 46014.L.G%-• CytO Date: !e.1-8• ( i <br /> Financial Services <br /> This Contract is condition g21 upon appropriation by the Board of Commissioners Yes❑Noj. A budget amendment is necessary <br /> before approval Yes❑No4. If budget amendment is necessary, please attach to this form. This instrument has been pre-audited in the <br /> manner required by the Local Government Budget and Fiscal Control Act: <br /> Financial Services Director's Signature: ,A Ati-- Date: 113 1 w <br /> -1 . toles"=, <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 t 1 (Most other contracts$1,000 and above). Department Director approval only❑ (Under <br /> $1,000). This contract has be reviewed and approved by the Attorney as to legal form and sufficiency: <br /> Attorney's Signature Date: 7/51i2. <br /> County Manager <br /> This contract has been reviewed and is approved by the County Manager Yes[?STo❑. <br /> This contract has been reviewed and is for signature 4y th- hair Yes❑No❑! <br /> / I / Date: ?' 2-� <br /> Manager's Signature: . 7 <br /> Clerk to the Board <br /> Approved by BOCC on the day of ,20 . Submitted for Chair signature on the_day of ,20 <br /> Clerk's Signature: Date: <br /> Revised March 2012 <br />