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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(lie legal review process prior to being routed for signature. <br /> Department <br /> PautyNendor•Name: Wynette Clark Party/vendor Contact Person: Wynette Clarkr Contact Phone:919-358-1800 Party/Vendor <br /> Address: 1404 Birkdale Circle City Mebaf State:NC Zip:27302 Department:DEAPR Amount:$1645.00 Purpose:Dance <br /> Instruction Budget Code(s):630000 Vendor#80609 (N/A if new vendor) Vendor is a BOCC consultant? Yes❑No® Contract <br /> Type:(Check one)New® Renewal❑ Amendment ❑ Effective Date November 14,2012 Approved by Board Yes❑Nog <br /> Agenda Date: Title of Contract: <br /> If this is a Grant Agreement,pre-application has been approved by tine Board of Commissioners YesQ 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: ll 21) Z <br /> IT Director <br /> (Applicable only to hardnvar•e/sofhvare purchases or related servlces)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: ❑ COL; ❑ 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: <br /> Risk Manager's Signature: q�/�(,k-y�., �_ Date: <br /> �_ iIle-i,Itz <br /> Financial Services <br /> This Contract is conditioned upon appropriation by the Board of Commissioners Yes❑No A budget amendment is necessary <br /> before approval Yes❑No�f 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 Con JoAct- <br /> Financial „�Services Dircctor's Signature: � Date: <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%(AlI other contrac(s). This contract has been reviewed and approved by the Attorney as to legal <br /> form and sufficiency: <br /> Attorney's Signature F`4 Date: ll c30 `,_2 <br /> County Manager <br /> This contract has been reviewed and is approved by the County Manager Yeses NNo❑. <br /> This contract has been reviewed and is to be submi ed for 71Tr er Yes❑Nof <br /> Manager's Signature; Date: Z” <br /> Cie c to the Board <br /> Approved by BOCC on the_day of ,20 ubmitted for Chair signature on the—day of ,20 <br /> Clerk's Signature: Date: <br /> Revised April 2010 <br />