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�t3-Ol8 <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 /> Denartnnent <br /> Party/Vendor Name: Caroline Johnston PartyNendor Contact Person: Caroline Johnston Contact Phone:919-830-5177 Party/Vendor <br /> Address:9055 Hwy 39 S City Henderson State:NC Zip:27537 Department:DEAPR Amount:$1700.00 Purpose:Dance Instruction <br /> Budget Code(s):630000 Vendor#N/A (N/A if new vendor) Vendor is a BOCC consultant? Yes❑No® Contract Type:(Check <br /> one)New® Renewal❑ Amendment ❑ Effective Date January 9,2013 Approved by Board Yes❑No® Agenda Date: <br /> Title of Contract:Dance Instruction <br /> If this is a Grant Agreement,pre-application has been approved by the Board of Conunissioners Yes❑NoQ. 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: n <br /> Department Director's Signature: / �.�' c U `r- Date: <br /> IT Director <br /> (Applicable only to ha dware/sofAi-are pin-chases or related services)This contract has been reviewed and approved by the Information <br /> Technolo y.'Director as to technical content and information technology specifications: <br /> IT Dir' os Signature: Date: <br /> Risk Management �/ <br /> Include the following coverages. ❑ COL; ❑ Auto; ❑ WC; E] Professional; El Property; ❑ OR No Insurance Required [5 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: nnII/y <br /> Risk Manager's Signature: Vl lGv �• Date: 3 <br /> �. ►1'71 C3 <br /> Financial Services <br /> This Contract is conditioned pon appropriation by the Board of Commissioners Yes QNo 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: � 4� t.•� f• AIV41 Date: 1� ( 3 <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 N (All other contracts). This contract has been reviewed and approved by the Attorney as to legal <br /> fonn and sufficiency: <br /> Attorney's Signature Date: 1 01 i3 <br /> County Manager <br /> This contract has been reviewed and is approved by the/County Manager YeJIM NoQ. <br /> This contract has been reviewed and' " s mitt for CC consideration Yes❑NoQ--' <br /> Manager's Signature: Il Date: <br /> Cleric to the Board <br /> Appro d by BOCC on the_day of ,20 Submitted for Chair signature on the_ day of ,20 <br /> Cl 's Signature: Date: <br /> Revised April 2010 <br />