Orange County NC Website
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: Jump Start Snorts Party/Vendor Contact Person: Amanda Martin Contact Phone:(440)479-0208 Party/Vendor <br /> Address:7444 oodsprmg Lane City Hudson State:2 Zip:44,x¢ Department:DEAPR Amount:$2210.00 Purpose:Athletics <br /> stru,1QIl Budget Codes}: 10511020 630000 Vendor# /A if new vendor) Vendor is a BOCC consultant? Yes❑No® <br /> Contract Type:(Check one)New® Renewal❑ Amendment F Effective Date Apol 15.2012 Approved by Board Yes❑No® <br /> Agenda Date: Title of Contract:Athletics Instruction <br /> If this is a Grant Agreement,pre-application has been approved by the Board of Commissioners Yeso No❑. If submitted for bid were <br /> bids/RFPs received Ycs❑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: 5 <br /> IT Director <br /> (Applicable only to hardwarelsoftware purchases or related services)This contract has been reviewed and approved by the Information <br /> TeXthe for as to technical content and information technology specifications: <br /> IT nature: Date: <br /> Risk Management <br /> Inc wing coverages: ❑ COL; ❑ Auto; ❑ WC; ❑ Professional; ❑ Property; OR No Insurance Required [ij- 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 anager's Signature: Date: 2, x••' <br /> keyed 157/i7l/z 3copiw avvyr ./ c v-*nxfwQ <br /> Financial Services <br /> This Contract is condition d upon 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. Xis-, instrument has been pre-audited in the <br /> manner required by the Loca Government Budget and Fiscal Control Act: l <br /> Financial Services Director's Signature: Af*Nta Imo• ye, Date: 51 24 <br /> "j�m= 6izt <br /> County Attorney <br /> Approval by Board ❑ (Contracts $90,000.00 r more for goods or services, $250,000.00 or more for construction, or any BOCC <br /> consultant contract). Approval by Managerost other contracts$1,000 and above). Department Director approval only❑(Under <br /> $1,000). This contract has bee rev' w�j mrd approv the Attorney as to legal form and sufficiency: <br /> Attorney's Signature �' Date: <br /> County Mannever <br /> This contract has been reviewed and is approved by the County Manager Ye4!lNo❑. <br /> This contract has been reviewed and is for signatur y the Ch ' Yes❑Ng0'r <br /> Manager's Signature: Date: <br /> Clerk to 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 />