Orange County NC Website
/ <br /> tn 2. '`'\ , 1-11,\ / vv/ / ��/[/ , �»l^ g��/ / \ ylq'��/� .-k' kN /-x^0 �� ^�L` _�� /— ���� <br /> '�.' - ' --�/' ' -' --' // --''Y~ / `~'' ''' icouc/to <br /> =�o/� -/70 '""=^ /g0 <br /> 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 opecifiudabove. 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: Senior Center Program Instructors Purty/VeudorCootuct Person: see attached Contact Phone: <br /> yuny/9cudnrAddrcxy: City State: Zip: Department: Aging Amount: $20.00000 Purpose: classes Budget <br /> Code(s): 10430120-629000 Vendor# (N/A if new vendor) Vendor is a BOCC consultant? Yes E NoE Contract Type: <br /> (Check one)New fl Renewal (XI Amendment E Effective Date O7/Ol/20\2 Approved by Board yco[lNo[2] Agenda Date: <br /> Title of Contract: Senior Center Instructor <br /> If this is a Grant Agreement,pre-application has been approved by the Board of CommiooioucmYcx0 NoLl. If submitted for bid were <br /> bidy/RFPo received l'oo[] NoFl Bid/RFP number This contract has been reviewed and approved by the Department Director as to <br /> technical content: <br /> Department Director's Signature: ~^ Date: 6-Ar-,./z <br /> IT Director <br /> (Applicable only to ha 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; D Auto; E] WC; E Professional; rj Property; OR No Insurance Required rig-.----Flo|d <br /> Contract pending receipt of Certificate of Insurance E. With incorporation of Insurance provisions as shown, this contrac is approved <br /> by the Risk Manager: <br /> Risk ��o�U&umu�w�^u8i�amtm� Date: /��.Date: z <br /> � . <br /> X%"d <br /> ' ?-' '-- <br /> Financial Services <br /> This Contract is ' appropriation by Board ��o:x <br /> � <br /> w� A budget amendment is necessary <br /> before approval es[] � � l[buu*�tuu�udm�^ `ion�cexou,y. y|cuueuuuch»o this foon' This inouoocothas been p,eauJited in the <br /> manner required by the Loc [oveonocntBudg:« <br /> and FiuculContr |Axt. <br /> /l <br /> ' �L, <br /> Financial Services Director's Signature: LeC~e..—w= Date: t <br /> (/2~ <br /> ' <br /> 91:2c. . tot zp� <br /> ' <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 /> -- <br /> consultant contract). Approval b Manager (Most other contracts$1,000 and above). Department Director approval only ] (Under <br /> $),000). This contract has d and approved hy the Attorney uo\o legal form and sufficiency: <br /> Du�c ��C* ��"� <br /> Attorney's Signature � , <br /> r �County Manager <br /> This contract has been reviewed and is approved b the County Manager Ye % N•Si. <br /> This 000�ucthas been revicn'cdand i ru' Chair `�oo[]Y�oN� <br /> � d0�� <br /> � � ^� "9---/ <br /> /~�~ <br /> Manager's Signature: Ø� ' ~ ~ d�N�' C�mz: �'� �m� <br /> Clerk to the Board <br /> Approved by BOCC on the day of , 20 . Submitted for Chair signature on the day ny .20___. <br /> Date: <br /> Clerk's � <br /> b:r�`n8��outo�o� <br /> Revised March 2012 <br />