Orange County NC Website
- 1 Nok'. P(s <br /> X91 y< sz� P'+- �- .a <br /> z�',z- A(,w(.4 bw <br /> ORANGE COUNTY—CONTRACT CONTROL SHEET •" �c <br /> Routing Order: (I)Department,(2)IT,(3)Risk Management,(4)Financial Services,(5)Attorney,(6)Manager,(7)Clerk ~_ " 4- <br /> This Document shall accompany all contracts and shall be submitted for signature in the Routing Order specified above. If the Manager Code• <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 /> 7 <br /> De nartment <br /> 1051 tipRA> -• (e30o� <br /> PartyNendor Name: Brian Braxton Party/Vendor Contact Person: Contact Phone:732-3435 PartyNendor Address:PO Box <br /> 759 City Hillsborough State:NC Zip:27278 Department: mount:$2400 Purpose:Golf Camps Budget Code(s):( <br /> Vendor# (N/A if new vendor) Vendor is a BOCC consultant? Yes❑No Contract Type:(Check one)New❑ Renewal <br /> ® Amendment ❑ Effective Date May 1,2012 Approved by Board Yes❑No❑ Agenda Date: Title of Contract:Golf <br /> 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: <br /> Department Director's Signature: Date: kb 7/12 <br /> IT Director <br /> (Applicable only to hardware/sofhr'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 Ilk 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: <br /> Risk Manager's Signature: 1'L€ Dale:4-/ .7-3 ' /7i <br /> c. %d O`FIB&,/ _ � <br /> Financial Services <br /> This Contract is conditions upon appropriation by the Board of Commissioners Yes❑No A budget amendment is necessary <br /> before approval YesO No . if budget amendment is necessary,please attach to this form. This instrument has been pre-audited in the <br /> manner required by the Loco Government Bud !and Fiscal Control Act: <br /> Financial Services Director's Signature: tL , J. 4 Date: 4`2141 Z <br /> County Attorney <br /> Approval by Board ❑ (Contracts over $90,000.00 for goods or services, $250,000.00 for construction, or any BOCC consultant <br /> contract). Approval by Manager 0(All other contracts). This contract has been reviewed and approved by the Attorney as to legal <br /> form and sufficiency: <br /> Attorney's Signature ` Date: !tJq 74 <br /> Con Manager <br /> County er g <br /> This contract has been reviewed and is approved by the County Manager Yes do❑. <br /> This contract has been reviewed and is to be submitte for BOCC consideration Yes o l <br /> Manager's Signature: <br /> ^�� ' Date: 7 9 I Z� <br /> Clerk to the Boaxd- <br /> Approved by BOCC on the day of ,20 't'∎runt:' for Chair signature on theme ,20` <br /> Clerk's Signature: '1 Date: ( 'Z- <br /> i <br /> Revised April 2010 <br />