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aol,A.4c12 <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 /> Party/Vendor Name: Elena Marinina PartyNendor Contact Person: Elena Marinina Contact Phone:919-943-6451 PartyNendor <br /> Address:3213 Annandale Road City Durham State:NC Zip:27705 Department:DEAPR Amount:4066.00 Purpose:Piano <br /> instruction Budget Code(s):630000 Vendor#NC (N/A if new vendor) Vendor is a BOCC consultant? Yes❑No// Contract <br /> Type:(Check one)New® Renewal ❑ Amendment ❑ Effective Date July 28,2012 Approved by Board Yes0 No Agenda <br /> Date: Title of Contract:Piano and Voice Classes <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: OP Date: 71 19 112- <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 hnolo Director as to technical content and information technology specifications: <br /> IT D' tor's Signature: Date: <br /> Risk Management, <br /> Include the following coverages: ❑ CGL; ❑ Auto; ❑ WC; ❑ Professional; ❑ Property; OR No Insurance Required [r. 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: /�/�j� /`�� <br /> Risk Manager's Signature: eta/44 ii. �� Date: if z l 12_ <br /> P . rr['l I r. <br /> Financial Services <br /> This Contract is conditioned,�pon appropriation by the Board of Commissioners Yes❑No f.. A budget amendment is necessary <br /> before approval Vest]No If budget amendment is necessary,please attach to this fore. This instrument has been pre-audited in the <br /> manner required by the Local Government Budget and Fiscal Control Act: <br /> I / <br /> Financial Services Director's Signature: c(. ). �7 t % Date: '7 244 I Z. <br /> 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 in(All other contracts). This contract has been reviewed and approved by the Attorney as <br /> to legal form and sufficiency: <br /> /4 / / <br /> Attorney's Signature 4 ! Date: 7 7/,Z <br /> County Mai u a¢ t e. <br /> This contract has been reviewed and is approved u y the County anager Yes0 No0. <br /> This contract has been reviewed and is for ': n,I•e, ihi Ch/lr ❑No 7.-// <br /> Manager's Signature: Date: ` <br /> Jerk 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 November 2011 <br />