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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: Music and Dance Productions.Inc. Party/Vendor Contact Person: Deborah Boz Contact Phone: <br /> Party/Vendor Address:P O Box 728 City Franklinton State:NC Zip:27525 Department:Aging Amount: $4,000.00 Purpose: <br /> Seymour Center Dance Class Budget Code(s): 10430120-629000 Vendor#61488 (N/A if new vendor) Vendor is a BOCC <br /> consultant? Yes❑No® Contract Type: (Check one)New® Renewal ❑ Amendment ❑ Effective Date 09/15/2012 Approved by <br /> Board Yes❑No® Agenda Date: Title of Contract: Snr Cntr-Music&Dance <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: Date: <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: ❑ CGL; ❑ 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: q <br /> Risk Manager's Signature: (/� V� 4w-- Date: 6 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[ 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: <br /> Financial Services Director's Signature: ( et"I'_1 A. Ae__ Date: I 2 <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 (Most other contracts$1,000 and above). Department Director approval only❑(Under <br /> $1,000). This contract has been eviewed and approved by the Attorney as to legal form and sufficiency: <br /> Attorney's Signature Date: <br /> County Manager <br /> This contract has been reviewed and is approved by the County Manager YesENo❑. <br /> This contract has been reviewed and is for signature by the it Yes❑N <br /> Manager's Signature: Date: <br /> Cler to the Board <br /> Approved by BOCC on the day of ,20 Submitted for Chair signature on t e day of ,20 <br /> Clerk's Signature: Date: Citu <br /> Revised March 2012 <br />