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__ <br /> c.-01:).1., _ ���� <br /> ORANGE COUNTY—CONTRACT CONTROL SHEET <br /> Routing Order: (1)Department,(2)I7,(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 /> deteiiuines 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: CHICLE, Gillooly,Zhao Party/Vendor Contact Person: see attached Contact Phone: Party/Vendor <br /> Address: City State: Zip: Department:Aging Amount: $12,20080 Purpose: senior center classes Budget <br /> Code(s): 104]0)20-020000 Vendor#43D40/5133U/58260 (N/A if new vendor) Vendor is a BOCC consultant? Yes [1]NoI <br /> Contract Type:(Check one)New El Renewal[E] Amendment Fl Effective Date 07/0l/2O12 Approved by Board `yee0No00 <br /> Agenda Date: Title of Contract: Senior Center Instructor <br /> If this is a Grant Agreement,pre-application has been approved by the Board of Commissioners `ycx0NuFl. If submitted for bid were <br /> bids/RFPo received l/eu0Nn0 8id/&FPounuber This contract has been reviewed and approved by the Department Director as to <br /> technical content: <br /> Department Director's Signature: Date: G '.?1"-/2._' <br /> IT Director <br /> (Applicable only to 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; Fl Auto; D wC; D Professional; 0 Property; OR No Insurance Required D. Hold <br /> Contract pending receipt of Certificate of Insurance LI. With incorporation of Insurance provisions as shown, this contract is approved <br /> by the Risk Manager: <br /> Risk Manugmr,o&i&nmture: `�[��~°^~^ A AA,. Date: t <br /> Financial Services <br /> This Contract is condition- upon appropriation by the Board of Commissioners You0Y4 . A budget amendment is necessary <br /> before approval Yco0 NoL. 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 /> C0,11/1"41-- � �� �/tZ- <br /> County Finmnck mlS*rvkcex8�irectnr`oBkgmm*urm: �� Doto: �/ "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 J (Most other contracts$1,000 and above). Department Director approval only El (Under <br /> $).000). This contract h be i d and <br /> Attorney's Signature U Date: yy x/���� <br /> - � .� ' � - <br /> " County Manager <br /> This contract has been reviewed and is approved by the County Manager Y~~ErNoFl. <br /> This contract has been reviewed and is for signature by the 'ir l,ou�lY4u{��- <br /> � __ __ <br /> / � � ��� --�'~-�u--1« ~' <br /> 0Wuuuger`u8ignmtpre: �� ' �� Da��� � / ~ <br /> ~' <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 />