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� <br /> =1b/�-|44 <br /> Q <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 Documen 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 Pro• am nstructors Party/Vendor Contact Person: see attached Contact Phone: Party/Vendor <br /> Address: City State: Zip: Department: Aging Amount: $2400000 Purpose: classes Budget Code(s): <br /> 29430320-630000 Vendor# if new vendor) Vendor is a BOCC consultant? Contract Type: (Check one) <br /> New[| Renewal El Amendment 0 Effective Date 07/01/2012 Approved by Board l,eo0NoZ Agenda Date: Title of <br /> Contract: <br /> If this is a Grant Agreement,pre-application has been approved by the Board of Commissioners ycs0 No0. If submitted for bid were <br /> bids/RFPs received yesFl No[l Bid/RFPuumboc This contract has been reviewed and approved by the Department Director as to <br /> technical content: <br /> Department Director's Signature: Date: 6-/Y-AZ' <br /> IT Director <br /> (Applicable only m6uo/wuru6oft°urp purchases or related services)This contract has been reviewed and approved hy 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: Li CGL; 0 Auto; Fl \9C; CI Professional; Fl Property; OR No Insurance Required [Er 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 /> � <br /> 0KAyk��unmger,oSignature: ' Date: u/ • )-('(z-~ <br /> \ // <br /> Financial Services <br /> This Contract is conditio c* pon appropriation by the Board of Commissioners `yeo0N A budget amendment is necessary <br /> before approval YesLi \gntil. If budget amendment is necessary, please attach to this form. T i instrument has been pre-audited in the <br /> manner required by the Local Government Bud Control Act: <br /> � ` °� <br /> \w/ ^��| �u�' <br /> Financial Sorv�mv]0�eotox"oSignature: ~ "w~*`-�°�� �~' — Date: / ^ <br /> _ ZU, <br /> County Attorney <br /> Approval by Board 0 (Contracts $90.000D0 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 0 (Dndnr <br /> $1,000). This contract has reviewed and approved by the Attorney as to legal form and sufficiency: <br /> Attorney's ^ <br /> ^� Du,e: wr���� <br /> � <br /> County Manager <br /> This contract has been reviewed and is approved by the County Manager YcxE]NoEj. <br /> This contract has been reviewed and is for signature b the Cha NoFl. <br /> Si � Date: � ],-'Muougur`o8igmatarw: ~—� <br /> Cler o 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 />