Orange County NC Website
Browse       Search
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 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: Carla Laws PartyNendor Contact Person: Contact Phone:919 732-4461 Party/Vendor Address:408 <br /> Lafayette Drive City Hillsborough State:NC Zip:27278 Department:DEAPR Amount:$2400 Purpose:Aerobics Instnictiou Budget <br /> Code(s): 5''4w Vendor ti (N/A if new vendor) Vendor is a BOCC consultant? Yes❑No►I Contract Type:(Check one)New <br /> ® Renewal IIJI Amendment 0 Effective Date July 1,2012 Approved by Board Yes❑Nola Agenda Date: Title of <br /> Contract:Aerobics Instruction <br /> If this is a Grant Agreement,pre-application has been approved by the Board of Commissioners Yes❑Nola 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: J2 Date: ?kb Z <br /> IT Director <br /> (Applicable only to hardware/software purchases or related services)This contract has been reviewed and approved by the Information <br /> Tecimology Director as to technical content and information technology specifications: <br /> IT Director's Signature: Date: <br /> Risk Management <br /> Include the following coverages: ❑ COL; ❑ Auto; ❑ WC; ❑ Professional; ❑ Property; ("OR No Insurance Required D. 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: M }'� <br /> Risk Manager's Signature: eL�t� .F/► i "- Date: 1[I d 1,2' <br /> `*C,--. . '7t'to <br /> Financial Services <br /> This Contract is conditiotFd,upou appropriation by the Board of Commissioners Yes❑Nog. 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 Local Government Budget and Fiscal Cont of Act: r1/ f <br /> Financial Services Director's Signature: q a/b(n.tn/ ,�. Date: _ (( 1 11— <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 (All other contracts). This contract has been reviewed and approved by the Attorney as to legal <br /> form and sufficiency: <br /> Attorney's Signature 17.14 Date: j/1/11.2 <br /> County Manager <br /> This contract has been reviewed and is approved by the County Manager Yesp-H00. <br /> This contract has been reviewed and is to be su nitte or :O C consideration Yes❑No[r <br /> Manager's Signature: I / Il/ Date: 7"/6 `l- <br /> 0 <br /> erk 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 April 2010 <br />