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ORANGE COUNTY-CONTRACT CONTROL SHEET <br /> Rooting 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 /> detennines 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: Darroll A.Brown Party/Vendor Contact Person: Darroll A.Brown Contact Pho 19-74 693 Pasty/Vendor <br /> Address: 113 Tuscorora Dr City Hillsborough State:NC Zip:27278 Department:DEAPR Amount• I Purpose:Tennis <br /> Lessons Instruction Budget Code(s): 10510020-630000 Vendor#61085 (N/A if new vendor) Ven BOCC consultant? Yes❑ <br /> Nog Contract Type:(Check one)New N Renewal❑ Amendment ❑ Effective Date January 6,2013 Approved by Board <br /> Yes❑No❑ Agenda Date: Title of Contract:Tennis Lessons <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: '7t(2 <br /> Department Director's Signature: Date: 1)124,)12. <br /> IT Director <br /> (itpplicable only to bard)rare/soffnvan•eplu•elnrises or related services)This contract has been reviewed and approved by the Information <br /> 'I' cimolo irector as to technical content and information technology specifications: <br /> IT ► ctor'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 nsurance ❑. With incorporation of Insurance provisions as shown,this contract is approved <br /> by the Risk Manager: <br /> Risk Manager's Signature: Cam, �.�t,✓ Date: < < Z <br /> Financial Services <br /> This Contract is conditioned Won appropriation by the Board of Commissioners Yes❑No . A budget amendment is necessary <br /> before approval Yes[]NoEj 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 nd Fiscal Control A <br /> Financial Services Director's Signature: / Date: l l <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[)g (All other contracts). This contact has been reviewed and approved by the Attorney as to legal <br /> form and sufficiency: <br /> Attorney's Signature Date: /6 3 /.2 <br /> County Manager <br /> This contact has been reviewed and is approved by the County Manager Yes�o❑. <br /> This contract has been reviewed and is to be submitted for 0 consideration Yes❑No[3— <br /> Manager's Signature: Date: <br /> Clerk to the Board <br /> Appr red by BOCC on the_day of ,20 Submitted for Chair signature on the_day of ,20 <br /> C rlc's Si nature: Date: <br /> Revised April 2010 <br />