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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 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: Pamela Reading Party/Vendor Contact Person: same Contact Phone: Party/Vendor Address: 105 <br /> Charlesberr5 Lane City Chapel Hill State:NC Zip:27517 Department:Aging Amount: $2,400.00 Purpose: Japanese embroidery class <br /> Budget Code(s): 10430120-629000 Vendor#60403 (N/A if new vendor) Vendor is a BOCC consultant? Yes ❑No® Contract <br /> Type:(Check one)New❑ Renewal® Amendment ❑ Effective Date 08/10/2012 Approved by Board Yes[]No® Agenda <br /> Date: Title of Contract: Snr Cntr Instr-Reading <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❑Non Bid/RFP number This contract has been reviewed and approved by the Department Director as to <br /> technical content: <br /> Department Director's Signature: Date: A,-1,0-/I- <br /> IT Director <br /> (Applicable only to hardware/software purchases or related services)This contract has been reviewed and approved by the Information <br /> Technology Director as to technical content and information technology specifications: <br /> IT Director's Signature: Date: <br /> Risk Management � <br /> Include the following coverages: F1 CGL; E] Auto; ❑ WC; ❑ Professional; ❑ Property; OR No Insurance Required ❑. 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: p <br /> Risk Manager's Signature: Date: b LO t I Z, <br /> Financial Services <br /> This Contract is conditioned on appropriation by the Board of Commissioners Yes❑No� A budget amendment is necessary <br /> before approval Yes❑No[V.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- 1 r <br /> Financial Services Director's Signature: CQW�!�✓ �. J�� Date: <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 N(Most other contracts$1,000 and above). Department Director approval only ❑ (Under <br /> $1,000). This contract has been r iewed and approved by the Attorney as to legal form and sufficiency:: <br /> Attorney's Signature z4�� Date: <br /> County Manager <br /> This contract has been reviewed and is approved by the County Manager YesUNo❑. <br /> This contract has been reviewed and is for signature by the Chair Y s❑Noa <br /> Manager's Signature: Date: <br /> Clerk o 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 March 2012 <br />