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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 specified above. If the Manager <br /> determines the conh•act 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 /> PartyNendor Name: Jeanne M. Seys PartyNendor Contact Person: Contact Phone:919 951-9581 PartyNendor Address:925 <br /> May Ridgee City Hurdle Mills State:NC Zip:27541 Department: DEAPR Amount:$4200 Purpose:Yoga Instruction Budget <br /> Code(s):63op°oOVendor# (N/A if new vendor) Vendor is a BOCC consultant? Yes❑No Contract Type:(Check one)New <br /> ® Renewal❑ Amendment ❑ Effective Date July 1,2012 Approved by Board Yes❑No❑ Agenda Date: Title of <br /> Contract:Yoga Instruction <br /> If this is a Grant Agreement,pre-application has been approved by the Board of Commissioners Yes0 Non. 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 /> \'X Department Director's Signature: 742 16C;(2 Date; .7/6)1 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 /> Te hnology irector as to technical content and information technology specifications: <br /> IT Dir F's Signature: Date: <br /> Risk Management <br /> Ii elude the following coverages: ❑ CGL; ❑ Auto; ❑ WC; ❑ Professional; ❑ Property; QfOR No Insurance Required 0. 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: nDr'J f� j� <br /> Risk Manager's Signature: e(.""-i m.� .2 . w ' — Date: 1/10117" <br /> — . '1)10 <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❑No . If budget amendment is necessary,please attach to this form. This instrument has been pre-audited in the <br /> manner required by the Loca Government Budget and Fiscal Control Act: rJ <br /> Financial Services Director's Signature: ��G1,cv J/• j41--- Date: `/14 (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[7,1 (All other contracts). This contract has been reviewed and approved by the Attorney as to legal <br /> form and sufficiency: / / e <br /> / 7//ih <br /> Attorney's Signature (:� � I Date: <br /> County Manager <br /> This contract has been reviewed and is approved by the County Manager Yes❑TIo❑. <br /> This contract has been reviewed and is to be submitted for : 1 CC consideration Yes❑No[-61 <br /> Manager's Signature: , / / `/ Date: 7 -/6 -/- <br /> Clerk to the Board <br /> Appr ved b OCC on the_day of ,20 . Submitted for Chair signature on the—day of ,20 <br /> Clerk's ature: Date: <br /> Revised April 2010 <br />