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- )./ -,_._-4:- (4, L� <br /> 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 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: Nina Maier PartyNendor Contact Person: Contact Phone: 732-2722 PartyNendor Address:3302 Pearson <br /> Road City Hurdle Mills State:NC Zip:27541 Department:DEAPR Amount:$4000 Purpose:Tai Chi Instruction Budget Code(s):f foczD 0o <br /> Vendor ft (N/A if new vendor) Vendor is a BOCC consultant? Yes❑No Contract Type:(Check one)New❑ �300 <br /> Renewal® Amendment ❑ Effective Date August 15,2012 Approved by Board Yes❑No❑ Agenda Date: Title of <br /> Contract:Tai Chi 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: AP O`-Y Date: , (o J j Z. <br /> iT Director <br /> (Applicable only to hardware/software/urrchases or related services)This contract has beeu reviewed and approved by the Information <br /> Technolog Director as to technical content and information technology specifications: <br /> IT D ector's Signature: Date: <br /> Risk Management <br /> Include the following coverages: ❑ CGL; ❑ Auto; ❑ WC; ❑ Professional; ❑ Property; Ef OR No insurance Required D. Hold <br /> Contract pending receipt of Certificate of Insurance D. With incorporation of Insurance provisions as shown, this contract is approved <br /> by the Risk Manager: <br /> Risk Manager's Signature: 66^N'GC. X AL-- Date: H h <br /> O j(2" <br /> - -c_ 7I16 <br /> Financial Services <br /> This Contract is conditions upon appropriation by the Board of Commissioners Yes❑Not. A budget amendment is necessary <br /> before approval Yes❑Non. 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: 2� ✓/I <br /> Financial Services Director's Signature: et a^' .1 • A Date: ( `ID! t 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 r:1 (All other contracts). This contract has been reviewed and approved by the Attorney as to legal <br /> form and sufficiency: <br /> Attorney's Signature 4 Date: 7 ii / <br /> r <br /> County Manager <br /> This contract has been reviewed and is approved by the County Manager Ye5,041o0. <br /> This contract has been reviewed and is to be submitted for BOCC consideration Yes❑No' <br /> Manager's Signature: Wqb Date: 7--(C9 -( Z <br /> Clerk to the Board <br /> Ap rove by BOCC on the day of ,20 . Submitted for Chair signature on the—day of ,20 <br /> Cler ' ignature: Date: <br /> Revised April 2010 <br />