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ORANGE COUNTY-CONTRACT CONTROL SHEET <br /> Routing Order: (I)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. lithe 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 tluough,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 /> PartyNendor Name: Wynette Clark Party/Vendor Contact Person: Wynette Clark Contact Phone:919-358-1800 Party/Vendor <br /> Address: 1404 Birkdale Circle, ly, ebane State:NC Zip:27302 Department: DEAPR Amount:$2000.00 Purpose:Dance Camp <br /> Instructor Budget Code(s):630 66 endor U 60836 (N/A if new vendor) Vendor is a BOCC consultant? Yes❑No// Contract <br /> Type:(Check one)New❑ Renewal® Amendment ❑ Effective Date June 11,2012 Approved by Board Yes❑No Agenda <br /> Date: Title of Contract: Dance Camp Instructor <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: 4(9 Department Director's Signature: Date: 7141 2 <br /> IT Director <br /> (Applicable only to hardware/software purchases or related services)This contract has been reviewed and approved by the Information <br /> Tc molo Director as to technical content and information technology specifications: <br /> IT D ctor's Signature: Date: <br /> Risk Management <br /> Include the following coverages: ❑ CGL; ❑ Auto; ❑ WC; ❑ Professional; ❑ Property; OR No Insurance Required d. Hold <br /> Contract pending receipt of Certificate of Insurance O. With incorporation of Insurance provisions as shown, this contract is approved <br /> by the Risk Manager: <br /> Risk Manager's Signature: �✓ 'l/ Jd Date: /J[ 4 <br /> ,1110 <br /> Financial Services <br /> This Contract is Condition d upon appropriation by the Board of Commissioners Yes❑No A budget amendment is necessary <br /> before approval Yes❑NoNi. 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�1ct: <br /> / <br /> Financial Services Director's Signature: "l• n tom- �(/• /'`� Date: -r`10(lZ <br /> County Attorney <br /> Approval by Board ❑ (Contracts $90,000.00 or more for goods or services, $250,000.00 or more for constniction, or any BOCC <br /> consultant contract). Approval by Manager($(All other contracts). This contract has been reviewed and approved by the Attorney as <br /> to legal form and sufficiency: / <br /> Attorney's Signature ti' Date: 7/////L <br /> County Manager <br /> This contract has been reviewed and is approved by the County Manager Ye0No0, <br /> This contract has been reviewed and is for signs i - by the l it Yes❑No[ <br /> Manager's Signature: Date: 7 2 <br /> erk to the Board <br /> A roved by BOCC on the day of ,20 . Submitted for Chair signature on the_day of ,20 . <br /> er tune: Date: <br /> Revised November 2011 <br />