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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 thorough the legal review process prior to being routed for signature. <br /> Department <br /> Party/Vendor Name: Hunter Scagos Party/Vendor Contact Person: Contact Phone: 919.544.5559 Party/Vendor Address: 1001 <br /> Fenwich Parkway City Durham State: NC Zip: 27713 Department: DEAPR Amount: 560 Purpose: Guitar Instruction Budget <br /> Code(s): 630000 Vendor # (N /A if new vendor) Vendor is a BOCC consultant? Yes ❑ No® Contract Type: (Check one) <br /> New ® Renewal ❑ Amendment ❑ Effective Date January 15, 2013 Approved by Board Yes❑ No❑ Agenda Date: <br /> Title of Contract: Guitar Instruction <br /> If this is a Grant Agreement, pre - application lies 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: , qz� Date: <br /> IT Director <br /> (Applicable a to hcn•drvarelsojhrare purchases or related services) This coutract has been reviewed and approved by the Information <br /> Technolo Director as to technical content and information technology specifications: <br /> IT D' ec 's Signature: Date: <br /> Risk Management <br /> Include the following coverages: ❑ CGL; ❑ Auto; ❑ WC; ❑ Professional; ❑ Property; OR No Insurance Required d.. Hold <br /> Contract pending receipt of Certificate of Insurance ❑. Willi incorporation of Insurance provisions as sho%vii, this contract is approved <br /> by the Risk Manager: <br /> Risk Manager's Signature: Date: 2 `I .r <br /> Financial Services <br /> This Conn is conditioned pan appropriation by the Board of Commissioners Yes ❑Nog.. 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: ( y 4 `'7 t-'-w � • A Date: <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 lies been iewed and approved by the Attorney as to legal form and sufficiency: <br /> Attorney's Signature Date: h 5 / 3 <br /> County Manager <br /> This contract has been reviewed and is approved by the County Manager Ye No ❑. <br /> Thi contr t has been reviewed and is for sign tore y Cl it Yes ❑No <br /> Man. a Signature: Date: <br /> Jer to the Boa <br /> ApX y BOCC on t he day of , 20 — . Submitted for Chair signature on the day of 20 <br /> Clenature: Date: <br /> Revised March 2012 <br />